KRYSTAL LANE

MODESTO, CA
NPI1275674434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2007-02-09
Last Update Date2007-07-08
Business Address
Miss KRYSTAL LANE
1213 COFFEE RD STE D
MODESTO, CA 95355-4229
Phone number: 209-522-5238
Mailing Address
Miss KRYSTAL LANE
1213 COFFEE RD STE D
MODESTO, CA 95355-4229
Phone number: 209-522-5238
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