Individual
LYNN WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3687 LAS POSAS RD, CAMARILLO, CA 93010-1482
(805) 484-2705
(805) 484-5908
Mailing address
3687 LAS POSAS RD, CAMARILLO, CA 93010-1482
(805) 484-2705
(805) 484-5908
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
36029
CA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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