Individual
MARILYNN JEAN HEYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RDH, MPH
Contact information
Practice address
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY, LOMA LINDA, CA 92350-0001
(909) 558-4613
(909) 558-4192
Mailing address
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY, LOMA LINDA, CA 92350-0001
(909) 558-4613
(909) 558-4192
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 5781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDH 5781
STATE LICENSE
CA
Enumeration date
10/14/2010
Last updated
10/14/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us