Individual
ALYSSA NOWLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
435 MANHATTAN AVE APT A, HERMOSA BEACH, CA 90254-4578
(408) 607-9866
Mailing address
435 MANHATTAN AVE APT A, HERMOSA BEACH, CA 90254-4578
(408) 607-9866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108036
CA
Other
Enumeration date
05/17/2021
Last updated
09/29/2022
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