Individual
DR. JULIE ANASTASIA JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S., M.P.H.
Contact information
Practice address
925 W 34TH ST, LOS ANGELES, CA 90089-0058
(213) 740-0412
Mailing address
925 W 34TH ST, LOS ANGELES, CA 90089-0058
(213) 740-0412
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
43612
CA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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