Individual
LYDIA JARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
BUILDING ONE, USCG COAST GUARD ISLAND, ALAMEDA, CA 94501
(510) 437-3615
Mailing address
930 PROSPECT AVE, VALLEJO, CA 94592-1168
(510) 437-3615
(510) 437-3034
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 20602
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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