Individual
SANDEEP KAUR MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3384 AMY DR, CORONA, CA 92882-8794
(120) 953-4795
(209) 534-7959
Mailing address
3384 AMY DR, CORONA, CA 92882-8794
(209) 534-7959
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
HAP674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP674
RDHAP
CA
Enumeration date
02/01/2018
Last updated
02/01/2018
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