Individual
VICTORIA MARIA GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
140 STONY POINT ROAD, SUITE A, SANTA ROSA, CA 95401
(707) 578-3118
Mailing address
140 STONY POINT RD STE A, SANTA ROSA, CA 95401-4121
(707) 578-3118
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
19668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDA19668
DCA
CA
Enumeration date
11/27/2018
Last updated
11/27/2018
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