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Individual provider · Pediatric Dentistry · El Cajon, CA

NPI
1467208686
Type
Individual (Type 1)
Primary specialty
Pediatric Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223P0221X
License number
DDS112856 (CA)
Sex
Female
Sole proprietor
Yes
Enumerated
2024-04-29
Last updated
2026-07-06
Practice location
828 Jackman St
El Cajon, CA 92020-3053
(619) 768-7869

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