Organization
ALTERNATIVE DENTAL HYGIENE OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA DENISE PRIMUS DDS (DENTAL DIRECTOR)
(661) 663-8345
Entity
Organization
Contact information
Practice address
8806 ROCKHAMPTON DR, BAKERSFIELD, CA 93313-4252
(661) 834-2810
Mailing address
8806 ROCKHAMPTON DR, BAKERSFIELD, CA 93313-4252
(661) 834-2810
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147058
DELTA DENTAL
CA
01
—
Z98419-1
HEALTHY FAMILIES
CA
Enumeration date
04/24/2007
Last updated
08/22/2020
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