Individual
PRISCILLA GERAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 BARRANCA PKWY, SUITE 100, IRVINE, CA 92604-4755
(949) 552-6334
Mailing address
30116 SONRISA LN, LAGUNA NIGUEL, CA 92677-2356
(949) 295-2235
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23750
CA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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