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Organization
DENTAL HYGIENE PRACTICE OF SHANAY FRY, RDHAP
Active
Organization
DENTAL HYGIENE PRACTICE OF SHANAY FRY, RDHAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANAY LYNN FRY RDHAP (OWNER)
(949) 702-6306
Entity
Organization
Contact information
Practice address
13646 ABANA DR, CERRITOS, CA 90703-1003
(949) 702-6306
Mailing address
13646 ABANA DR, CERRITOS, CA 90703-1003
(949) 702-6306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
587
CA
310400000X
Assisted Living Facility
587
CA
313M00000X
Nursing Facility/Intermediate Care Facility
587
CA
314000000X
Skilled Nursing Facility
Primary
587
CA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
587
CA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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