Individual
MRS. TAMI RENEE HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
20722 WOODRIDGE WAY, SONORA, CA 95370-8757
(209) 536-1800
(209) 536-1800
Mailing address
20722 WOODRIDGE WAY, SONORA, CA 95370-8757
(209) 536-1800
(209) 536-1800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 458
CA
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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