Individual
MARIDEL FRANCISCO BENIGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
8936 CAPOTE WAY, ELK GROVE, CA 95758-8026
(916) 271-5711
Mailing address
8936 CAPOTE WAY, ELK GROVE, CA 95758-8026
(916) 271-5711
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP541
CA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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