Individual
KRISTINE LYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 REVELL CIR, BUENA PARK, CA 90620-1389
(909) 800-2480
Mailing address
30 REVELL CIR, BUENA PARK, CA 90620-1389
(909) 800-2480
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18603
CA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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