Individual
MRS. JESSICA LYNN WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA, RDH, RDHAP
Contact information
Practice address
407 W IMPERIAL HWY, SUITE H175, BREA, CA 92821-4832
(714) 292-3291
Mailing address
407 W IMPERIAL HWY, SUITE H175, BREA, CA 92821-4832
(714) 292-3291
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
102237
NV
124Q00000X
Dental Hygienist
25954
CA
124Q00000X
Dental Hygienist
HAP542
CA
126800000X
Dental Assistant
64252
CA
Other
Enumeration date
01/15/2009
Last updated
03/28/2017
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