MARYANN DETAR

SAN JOSE, CA
NPI1285234047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  26843)
Enumeration Date2020-10-29
Last Update Date2020-10-29
Business Address
MARYANN DETAR
3154 ALUM ROCK AVE
SAN JOSE, CA 95127-2903
Phone number: 669-232-0311
Mailing Address
MARYANN DETAR
3154 ALUM ROCK AVE
SAN JOSE, CA 95127-2903
Phone number:
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