Organization
LAUREL LOOMER
Active
Other names
Special Dental Hygiene Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL E. LOOMER R.D.H.A.P. (OWNER)
(408) 358-0209
Entity
Organization
Contact information
Practice address
16470 W LA CHIQUITA AVE, LOS GATOS, CA 95032-4635
(408) 358-0209
(408) 358-3670
Mailing address
PO BOX 899, LOS GATOS, CA 95031-0899
(408) 358-0209
(408) 358-3670
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z89882-01
—
CA
Enumeration date
05/24/2007
Last updated
06/24/2008
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