Individual
HEIDI ANNE DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
659 DRIFTWOOD LN, SAN DIMAS, CA 91773-3614
(626) 675-9924
Mailing address
659 DRIFTWOOD LN, SAN DIMAS, CA 91773-3614
(626) 675-9924
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP625
CA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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