Individual
MARISA M TEGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
959 MYRTLE AVE, EUREKA, CA 95501-1219
(707) 442-7078
(707) 442-7298
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26631
CA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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