Individual
DEBORAH KAY DE VRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
9428 KENSINGTON CT, WINDSOR, CA 95492-8543
(707) 479-5611
(707) 837-0441
Mailing address
9428 KENSINGTON CT, WINDSOR, CA 95492-8543
(707) 479-5611
(707) 837-0441
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
24727
CA
124Q00000X
Dental Hygienist
Primary
HAP482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366688418
—
CA
Enumeration date
02/01/2013
Last updated
10/17/2013
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