Individual
MS. DENESE GAIL WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, RDHAP
Contact information
Practice address
856 SISKIYOU LAKE BLVD, MOUNT SHASTA, CA 96067-9490
(530) 926-6784
(530) 926-6784
Mailing address
856 SISKIYOU LAKE BLVD, MOUNT SHASTA, CA 96067-9490
(530) 926-6784
(530) 926-6784
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP120, DH6470
CA
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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