Church, Jillian Elizabeth

Church, Jillian Elizabeth is an sole proprietor health care provider with primary practice located at 675 Camino De Los Mares , San Clemente CA 92673-2835. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Church, Jillian Elizabeth can be contacted via phone (949) 230-9931.

Contact Information

Primary practice address
675 Camino De Los Mares San Clemente CA 92673-2835
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 30833 California

Profile Details

NPI number 1982439980
LBN Legal business name Church, Jillian Elizabeth
Credentials RDH, OMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2024
Last updated Sep 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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