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Individual

MISS JANICE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
10602 CHAPMAN AVE STE 200, GARDEN GROVE, CA 92840-3147
(626) 617-7758
Mailing address
2101 E 4TH ST, SANTA ANA, CA 92705-3814
(714) 510-3837

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21953
CA

Other

Enumeration date
10/02/2015
Last updated
12/14/2015
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