Individual
SAMANTHA BERNALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
668 THIRD AVE, CHULA VISTA, CA 91910
(619) 662-4100
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
29607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29607
DENTAL HYGIENE BOARD OF CALIFORNIA
CA
Enumeration date
09/10/2019
Last updated
04/01/2020
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