# CLEAN SMILES BY DARLENE RDHAP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clean Smiles by Darlene
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629813720
- **Authorized official:** DARLENE VARGAS RDHAP (OWNER)
- **Authorized official phone:** (909) 831-3314

## Contact information

- **Practice address:** 960 E 12TH ST, BEAUMONT, CA 92223-1947
- **Practice address phone:** (909) 831-3314
- **Mailing address:** 960 E 12TH ST, BEAUMONT, CA 92223-1947
- **Mailing address phone:** (909) 831-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2024
- **Last updated:** 06/28/2024