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Individual

JILL C GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.H.

Contact information

Practice address
7255 JOSHUA LN, STE B, YUCCA VALLEY, CA 92284-2948
(760) 365-8331
Mailing address
57870 HIDDEN GOLD DR, YUCCA VALLEY, CA 92284-4430
(559) 223-0419

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26842
CA

Other

Enumeration date
03/25/2016
Last updated
03/27/2016
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