Individual
KATIE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1590 48TH AVE, SAN FRANCISCO, CA 94122-2802
(209) 608-2332
Mailing address
1590 48TH AVE, SAN FRANCISCO, CA 94122-2802
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22076
CA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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