Individual
SHIRLEY ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDH
Contact information
Practice address
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY, LOMA LINDA, CA 92350-0001
(909) 558-4613
(909) 558-4192
Mailing address
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY, LOMA LINDA, CA 92350-0001
(909) 558-4613
(909) 558-4192
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 10285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDH 10285
STATE LICENSE
CA
Enumeration date
10/15/2008
Last updated
10/15/2008
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