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Organization
DENTAL HYGIENE LIMITED
Active
Organization
DENTAL HYGIENE LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI CLAIRE SMITH RDHAP 4 (PARTNER)
(209) 826-5992
Entity
Organization
Contact information
Practice address
863 I ST STE B, LOS BANOS, CA 93635-4310
(209) 826-5992
(209) 826-6268
Mailing address
863 I ST STE B, LOS BANOS, CA 93635-4310
(209) 826-5992
(209) 826-6268
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
RDHAP 3
CA
124Q00000X
Dental Hygienist
RDHAP 4
CA
124Q00000X
Dental Hygienist
Primary
RDHAP 5
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YO08234
DENTICAL
CA
01
—
YO1864
DENTICAL
CA
01
—
YO2283
DENTICAL
CA
Enumeration date
02/05/2007
Last updated
01/22/2008
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