Individual
MARA MARIE HOBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
418 AVIATION BLVD STE A, SANTA ROSA, CA 95403-1074
(707) 575-3105
Mailing address
418 AVIATION BLVD STE A, SANTA ROSA, CA 95403-1074
(707) 575-3105
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
19643
CA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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