PHYLLIS DIANNE LEWIS

LOS ANGELES, CA
NPI1477839330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  HAP 142)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- PHYLLIS DIANNE LEWIS RDHAP
5635 S VERDUN AVE
LOS ANGELES, CA 90043-2123
Phone number: 310-916-2291
Mailing Address
-- PHYLLIS DIANNE LEWIS RDHAP
5635 S VERDUN AVE
LOS ANGELES, CA 90043-2123
Phone number: 310-916-2291