Individual
ANNA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1559 PACIFIC COAST HWY STE 101, HERMOSA BEACH, CA 90254
(310) 372-7686
Mailing address
4500 VIA MARINA APT 217, MARINA DEL REY, CA 90292-7219
(318) 381-3060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103188
CA
Other
Enumeration date
04/10/2017
Last updated
10/08/2018
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