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Individual

MS. JOAN PEIGHTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23456 HAWTHORNE BLVD., SUITE 210, TORRANCE, CA 90505
(310) 378-4277
Mailing address
25520 CYPRESS ST., LOMITA, CA 90717-2419

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6586
CA

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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