Jessica Lauren Black, RDH
Dental Hygienist in Redlands, CA. Individual provider (NPI-1).
NPI number1104187764
StatusActive
Last updated in NPPESMay 30, 2012
Details
- NPI
- 1104187764
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lauren Black
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2012
- Last updated
- May 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 24820 | CA | Yes |
Practice location
1413 Gold Buckle CtRedlands, CA 92374-2790
Phone 909-904-1891
Mailing address
1413 Gold Buckle CtRedlands, CA 92374-2790
Phone 909-904-1891
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All 10 Dental Hygienist providers in Redlands · All 3,292 providers in Redlands
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