Individual
LORI ANN REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.A.P.
Contact information
Practice address
42687 RAVENSBOURNE PARK ST, FREMONT, CA 94538-3947
(510) 364-2351
Mailing address
42687 RAVENSBOURNE PARK ST, FREMONT, CA 94538-3947
(510) 364-2351
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
429
CA
Other
Enumeration date
09/09/2012
Last updated
09/09/2012
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