Individual
KANDYCE ANN FILLMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
4915 COLLEGE AVE, BAKERSFIELD, CA 93306-3953
(661) 865-0092
Mailing address
11200 MEACHAM RD, BAKERSFIELD, CA 93312-2041
(661) 865-0092
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP140
CA
Other
Enumeration date
01/31/2013
Last updated
01/03/2025
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