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HOMEBOUND DENTAL HYGIENE PRACTICE OF SHONNA LINDO, RDHAP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHONNA D LINDO RDHAP (DENTAL HYGIENIST)
(949) 463-1671
Entity
Organization

Contact information

Practice address
19161 DELAWARE ST, B-01, HUNTINGTON BEACH, CA 92648-2372
(949) 463-1671
(714) 375-0717
Mailing address
19161 DELAWARE ST, B-01, HUNTINGTON BEACH, CA 92648-2372
(949) 463-1671
(714) 375-0717

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
308
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99308
DELTA DENTAL OF CALIFORNIA
CA
Enumeration date
09/15/2010
Last updated
02/16/2011
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