Organization
LISA BENNINGER GILDEA, RDHAP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GILDEA (CEO)
(209) 601-5705
Entity
Organization
Contact information
Practice address
4726 SAINT ANDREWS DR, STOCKTON, CA 95219-1915
(209) 601-5705
(209) 800-1955
Mailing address
4726 SAINT ANDREWS DR, STOCKTON, CA 95219-1915
(209) 601-5705
(209) 800-1955
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
05/23/2024
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