Individual
SAVANNAH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
208 N WEST ST, ALTURAS, CA 96101-3748
(530) 510-1800
Mailing address
PO BOX 1642, ALTURAS, CA 96101-1642
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP880
CA
Other
Enumeration date
09/20/2022
Last updated
11/08/2022
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