Black, Jessica Lauren

Black, Jessica Lauren is an individual health care provider with primary practice located at 1413 Gold Buckle Ct , Redlands CA 92374-2790. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Black, Jessica Lauren can be contacted via phone (909) 904-1891.

Contact Information

Primary practice address
1413 Gold Buckle Ct Redlands CA 92374-2790
Phone: (909) 904-1891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 24820 California

Profile Details

NPI number 1104187764
LBN Legal business name Black, Jessica Lauren
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated May 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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