Individual
KAYLA LEE SEJERA-WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1424 NOYES RD, ARROYO GRANDE, CA 93420-5049
(805) 748-3364
(805) 489-7368
Mailing address
PO BOX 872, PISMO BEACH, CA 93448-0872
(805) 748-3364
(805) 489-7368
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP 418
CA
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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