Individual
DARCI TRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
23158 CANYON TERRACE DR, CASTRO VALLEY, CA 94552-5431
(510) 886-4199
Mailing address
23158 CANYON TERRACE DR, CASTRO VALLEY, CA 94552-5431
(510) 886-4199
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
56
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H00056-01
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
01/16/2007
Last updated
07/08/2007
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