Individual
OLESEA DIACENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1420 BLUE OAKS BLVD, ROSEVILLE, CA 95747-7358
(916) 780-9688
Mailing address
1601 VINEYARD RD APT 1002, ROSEVILLE, CA 95747-9126
(916) 204-1214
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
33928
CA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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