Individual
MELINA JAIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
10602 CHAPMAN AVE STE 200, GARDEN GROVE, CA 92840-3147
(714) 537-0700
(714) 638-5991
Mailing address
327 W WILSON ST SPC 34A, COSTA MESA, CA 92627-1600
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24692
CA
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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