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Organization

DENTAL HYGIENE PRACTICE OF SHANAY FRY, RDHAP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANAY LYNN FRY RDHAP (OWNER)
(949) 702-6306
Entity
Organization

Contact information

Practice address
13646 ABANA DR, CERRITOS, CA 90703-1003
(949) 702-6306
Mailing address
13646 ABANA DR, CERRITOS, CA 90703-1003
(949) 702-6306

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
587
CA
310400000X
Assisted Living Facility
587
CA
313M00000X
Nursing Facility/Intermediate Care Facility
587
CA
314000000X
Skilled Nursing Facility
Primary
587
CA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
587
CA

Other

Enumeration date
11/13/2015
Last updated
11/13/2015
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