Individual
JEAN MARGARET HONNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSDH, RDH
Contact information
Practice address
18775 CHICKORY DR, RIVERSIDE, CA 92504-9526
(951) 789-7128
Mailing address
18775 CHICKORY DR, RIVERSIDE, CA 92504-9526
(951) 789-7128
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 17760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDH 17760
STATE LICENSE
CA
Enumeration date
10/15/2008
Last updated
08/03/2009
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