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Individual

MRS. DIANE MARY LAESCH-REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
STUDENT HEALTH, UNIVERSITY OF CALIFORNIA, SANTA BARBARA, CA 93106-7002
(805) 893-2891
Mailing address
4025 STATE ST, #44, SANTA BARBARA, CA 93110-1820
(805) 696-6219

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18571
CA

Other

Enumeration date
05/04/2007
Last updated
07/08/2007
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