Individual
ELISE NICOLE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19969 GREENLEY RD STE C, SONORA, CA 95370-5908
(209) 928-5400
(209) 928-5414
Mailing address
1311 SANGUINETTI RD STE C, SONORA, CA 95370-6210
(209) 928-5400
(209) 928-5414
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH24503
CA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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