Individual
JENNY LOU GULARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H., O.M.T.
Contact information
Practice address
12209 BRASSICA ST, SAN DIEGO, CA 92129-4125
(858) 484-6006
(858) 484-6001
Mailing address
12209 BRASSICA ST, SAN DIEGO, CA 92129-4125
(858) 484-6006
(858) 484-6001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH9314
CA
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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