Individual
MARIA RHODORA SISON PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
30TH ADOS SGGD, 338 SOUTH DAKOTA AVE, STE 1-1300, VANDENBERG AFB, CA 93437-6317
(805) 606-1846
Mailing address
303 ALCAZAR DR, SANTA MARIA, CA 93455-1378
(805) 925-3505
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22885
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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