Individual
JOANALYN LOPEZ MOJICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1ST DNBN ATTN: CREDENTIALS, 555221, CAMP PENDLETON, CA 92055-5221
(760) 715-1150
Mailing address
1ST DNBN ATTN: CREDENTIALS, BOX 555221, DPO, AA 92055-5221
(760) 715-1150
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH30571
CA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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