Organization
J&J DENTAL HYGIENE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PORTER RDHAP (OWNER)
(818) 533-1449
Entity
Organization
Contact information
Practice address
4300 W SARAH ST, #9, BURBANK, CA 91505-3862
(818) 533-1449
(818) 505-9717
Mailing address
4300 W SARAH ST, #9, BURBANK, CA 91505-3862
(818) 533-1449
(818) 505-9717
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
432
CA
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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