Individual
MRS. MICHELLE MINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13218 14TH ST, CAMP PENDLETON, CA 92055
(760) 725-7416
Mailing address
PO BOX 555221, 533020, CAMP PENDLETON, CA 92055-5221
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2006013085
MO
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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