Individual
MISS JACQUELINE MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1600 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3115
(818) 365-8086
(818) 898-4826
Mailing address
1052 W 43RD ST, LOS ANGELES, CA 90037-2403
(323) 232-0068
(323) 232-0068
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25278
CA
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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