Organization
CYNTHIA G. MACDOUGALL, RDHAP, INC
Active
Other names
Tom Gum Dental Hygiene
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA G MACDOUGALL RDHAP, RDH (CEO)
(310) 376-9001
Entity
Organization
Contact information
Practice address
444 HERMOSA AVE APT 302, HERMOSA BEACH, CA 90254-4433
(310) 376-9001
Mailing address
444 HERMOSA AVE APT 302, HERMOSA BEACH, CA 90254-4433
(310) 376-9001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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