Individual
DR. JENNIFER CAROLAN HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., D.D.S.
Contact information
Practice address
249 NOTTEARGENTA RD, PACIFIC PALISADES, CA 90272-3111
(310) 261-3534
Mailing address
249 NOTTEARGENTA RD, PACIFIC PALISADES, CA 90272-3111
(310) 261-3534
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
48460
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A113328
CA
Other
Enumeration date
11/07/2007
Last updated
07/23/2010
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