Individual
KA BAO VANG-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
600 NUT TREE RD STE 120, VACAVILLE, CA 95687-4656
(209) 636-5555
Mailing address
600 NUT TREE RD STE 120, VACAVILLE, CA 95687-4656
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32269
CA
Other
Enumeration date
08/14/2024
Last updated
08/17/2024
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