Individual
OPHELIA N MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-0300
(707) 462-1773
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-0300
(707) 462-1773
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH22039
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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