Organization
DENTAL HYGIENE PRACTICE OF ANNETTE LEDEZMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE LEDEZMA (REGISTERED DENTAL HYGIENIST)
(323) 812-0422
Entity
Organization
Contact information
Practice address
676 PECKHAM DR, WHITTIER, CA 90601-1063
(323) 812-0422
Mailing address
676 PECKHAM DR, WHITTIER, CA 90601-1063
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
23278
CA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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