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SMYLE ESSENTIALS DENTAL HYGIENE PRACTICE OF STEPHANIE GORDILLO, RDHAP

Active
Other names
SMYLE essentials
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA M DILLON (RDHAP/SECRETARY)
(510) 862-1367
Entity
Organization

Contact information

Practice address
22268 FOOTHILL BLVD STE 2, HAYWARD, CA 94541-2723
(510) 703-5357
Mailing address
606 RUBY RD, LIVERMORE, CA 94550-5146
(510) 703-5357

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/14/2021
Last updated
12/14/2021
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