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Individual

TANJA SHUBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
555221 BOX, CAMP PENDLETON, CA 92055-5221
(760) 725-3213
Mailing address
PO BOX 555221, CAMP PENDLETON, CA 92055-5221
(760) 725-3213

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
09/25/2020
Last updated
09/25/2020
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