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Individual

INGRI SEATH SPARLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
4638 MONTGOMERY DR, SANTA ROSA, CA 95409-5311
(707) 843-3896
Mailing address
4638 MONTGOMERY DR, SANTA ROSA, CA 95409-5311
(707) 843-3896

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
209
CA

Other

Enumeration date
02/04/2008
Last updated
03/05/2010
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