Individual
MELODY ANN VUJICICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
20041 OSTERMAN RD APT R14, LAKE FOREST, CA 92630-7790
(909) 641-5922
Mailing address
20041 OSTERMAN RD APT R14, LAKE FOREST, CA 92630-7790
(909) 641-5922
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
779
CA
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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