Individual
ALYCIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6009
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6009
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27828
CA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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