Moss, Jennifer Dawn

Moss, Jennifer Dawn is an individual health care provider with primary practice located at 11092 Anderson Street Llu School Of Dentistry, Loma Linda CA 92350-0001. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Moss, Jennifer Dawn can be contacted via phone (909) 558-4613.

Contact Information

Primary practice address
11092 Anderson Street Llu School Of Dentistry Loma Linda CA 92350-0001
Phone: (909) 558-4613
Fax: (909) 558-4192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDH 20864 California

Profile Details

NPI number 1588816144
LBN Legal business name Moss, Jennifer Dawn
Credentials BS, RDH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Oct 15th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588816144 NPPES
California Other RDH 20864 STATE LICENSE

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