Jamie Innis
NPI #1720614639 in Laguna Woods, California
Provider Information
- NPI Number
- 1720614639
- Entity Type
- Individual
- Name
- Jamie Innis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 23, 2020
- Last Updated
- May 30, 2023
Practice Location
- Address
- 25261 PASEO DE VALENCIA STE 1
- City
- Laguna Woods
- State
- California
- ZIP Code
- 92637-4966
- Phone
- (949) 830-0340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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