Individual
MRS. CAROLINE CATHLEEN DORNBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3020 SWEETWOOD DR, LODI, CA 95242-2045
(209) 365-0350
(209) 365-0350
Mailing address
3020 SWEETWOOD DR, LODI, CA 95242-2045
(209) 365-0350
(209) 365-0350
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
RDH8485
CA
124Q00000X
Dental Hygienist
Primary
RDHAP86
CA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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