Individual
CELIA ANAY ALVARADO ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1150 S GOODWIN RD., LONE PINE, CA 93545
(760) 876-4795
(760) 503-4174
Mailing address
250 N SEE VEE LN, BISHOP, CA 93514-8130
(760) 873-8464
(760) 503-4174
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP11576F
—
CA
Enumeration date
10/29/2021
Last updated
10/29/2021
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