Jennifer Louise Crandall DDS

NPI 1679761662 - Dentist - 122300000X

NPI Details
NPI 1679761662
Gender Female
Enumeration Date 10/04/2007
Last Updated 10/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
18740 VENTURA BLVD
#305
TARZANA CA, 91356-3366, US
Phone (818) 609-1777
Fax (818) 609-9352
Business Location
18740 VENTURA BLVD
#305
TARZANA CA, 91356-3366, US
Phone (818) 609-1777
Fax (818) 609-9352
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 030778
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According to our database, Dr. Jennifer Louise Crandall DDS NPI is 1679761662, taxonomy code is 122300000X and license number is 030778, license state is located at California. Jennifer Louise Crandall DDS physically located at 18740 Ventura Blvd, Tarzana CA, 91356-3366. NPI Number Jennifer Louise Crandall DDS has the Individual type.

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1679761662 NPI number is provided on an as is basis without warranty of any kind. 1679761662 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Louise Crandall DDS are for informational purposes only.