Organization
JANNY THOMAS, RDHAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNY THOMAS (RDHAP)
(760) 490-4397
Entity
Organization
Contact information
Practice address
14477 AMARGOSA RD STE 5, VICTORVILLE, CA 92392-2340
(760) 490-4397
Mailing address
11668 FULTON CT, VICTORVILLE, CA 92392-0456
(760) 490-4397
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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