SHAWN ELIZABETH WILD

GARDEN GROVE, CA
NPI1255842720
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  18779)
Enumeration Date2017-10-23
Last Update Date2017-10-23
Business Address
Mrs. SHAWN ELIZABETH WILD
10602 CHAPMAN AVE STE 200
GARDEN GROVE, CA 92840-3147
Phone number: 714-537-7900
Mailing Address
Mrs. SHAWN ELIZABETH WILD
2000 FORD LN
PLACENTIA, CA 92870-5500
Phone number: 562-743-4126
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