Jillian Elizabeth Church, RDH, OMT
Dental Hygienist in San Clemente, CA. Individual provider (NPI-1).
NPI number1982439980
StatusActive
Last updated in NPPESSep 7, 2024
Details
- NPI
- 1982439980
- Entity type
- Individual (NPI-1)
- Name
- Jillian Elizabeth Church
- Credential
- RDH, OMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2024
- Certification date
- Sep 7, 2024
- Last updated
- Sep 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 30833 | CA | Yes |
Practice location
675 Camino De Los MaresSan Clemente, CA 92673-2835
Phone 949-230-9931
Mailing address
26762 Calle MariaCapo Beach, CA 92624-1527
Phone 949-230-9931
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Other Dental Hygienist providers in San Clemente, CA
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- Mary Ann McConnellNPI 1760620017
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- Dawn Schnaidt, R.D.H.NPI 1669692133
- Eveette Michelle Tavakkoly, RDHNPI 1972709897
All 7 Dental Hygienist providers in San Clemente · All 1,327 providers in San Clemente
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