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1720614639
JAMIE INNIS
LAGUNA WOODS, CA
NPI
1720614639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA DDS106523)
Enumeration Date
2020-03-23
Last Update Date
2023-05-30
Business Address
JAMIE INNIS
25261 PASEO DE VALENCIA STE 1
LAGUNA WOODS, CA 92637-4966
Phone number: 949-830-0340
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Mailing Address
JAMIE INNIS
1805 CRESCENT OAK
IRVINE, CA 92618-4027
Phone number: 949-606-5566
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