Individual
MARY BEB Z. QUIJANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
5061 EQUESTRIAN CT, FAIRFIELD, CA 94534-1486
(707) 334-1553
Mailing address
5061 EQUESTRIAN CT, FAIRFIELD, CA 94534-1486
(707) 334-1553
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30318
CA
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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