Individual
CLARISSA RENEE VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
36977 PARK AVE, BURNEY, CA 96013-4067
(530) 335-3651
(530) 335-3221
Mailing address
37468 CYPRESS AVE, BURNEY, CA 96013-4067
(530) 335-3651
(530) 335-3221
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH23967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RDH23967
—
CA
Enumeration date
12/18/2008
Last updated
12/18/2008
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