Individual
KEVIN DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDHAP
Contact information
Practice address
6071 SUNSTONE DRIVE, SAN JOSE, CA 95123
(408) 506-5907
Mailing address
6071 SUNSTONE DRIVE, SAN JOSE, CA 95123
(408) 506-5907
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 537
CA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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