Individual
KELLI LANZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
194 TALMONT CIR, ROSEVILLE, CA 95678-6059
(916) 704-5818
Mailing address
194 TALMONT CIR, ROSEVILLE, CA 95678-6059
(916) 704-5818
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25463
REGISTERED DENTAL HYGIENIEST
CA
Enumeration date
11/14/2021
Last updated
11/14/2021
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