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JENNIFER DEAN D.M.D.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1790078509
Individual Registrant: JENNIFER DEAN D.M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5531 CANCHA DE GOLF SUITE 102 RANCHO SANTA FE, CA 92091-4042 US
Tel: 858-367-3058 Fax: --
Tel: 858-367-3058 Fax: --
Contact information for business:
5531 CANCHA DE GOLF SUITE 102 RANCHO SANTA FE, CA 92091-4042 US
Tel: 858-367-3058 Fax: --
Tel: 858-367-3058 Fax: --
Registration Information:
NPI: 1790078509
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 61367 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
