EVEETTE MICHELLE TAVAKKOLY

SAN CLEMENTE, CA
NPI1972709897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  21667)
Enumeration Date2007-06-26
Last Update Date2007-07-08
Business Address
Mrs. EVEETTE MICHELLE TAVAKKOLY RDH
647 CAMINO DE LOS MARES STE 209
SAN CLEMENTE, CA 92673-2807
Phone number: 949-493-9311
Mailing Address
Mrs. EVEETTE MICHELLE TAVAKKOLY RDH
23701 ARJAY WAY
LAGUNA NIGUEL, CA 92677-4642
Phone number: 949-425-1120
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