Individual
KATHRYN TOSHIE VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6090 REDWOOD BLVD STE D, NOVATO, CA 94945-4569
(415) 448-1500
Mailing address
5025 COUNTRY CLUB DR, ROHNERT PARK, CA 94928-1487
(520) 850-7963
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH31882
CA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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