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Individual

MS. BETTY ANNA GIDLOF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP.#451

Contact information

Practice address
152 VIA SAN NICOLO, PALM DESERT, CA 92260
(760) 625-3708
(760) 346-0005
Mailing address
152 VIA SAN NICOLO, PALM DESERT, CA 92260
(760) 625-3708
(760) 346-0005

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
#451RDHAP.
CA

Other

Enumeration date
11/28/2012
Last updated
11/28/2012
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