Individual
TAMARA L VOLLEBREGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1142 S DIAMOND BAR BLVD # 162, DIAMOND BAR, CA 91765-2203
(909) 861-0280
(909) 861-6951
Mailing address
1142 S DIAMOND BAR BLVD # 162, DIAMOND BAR, CA 91765-2203
(909) 861-0280
(909) 861-6951
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP385
CA
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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