Individual
SARA LAURA COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
4800 NORTH ST, SOMIS, CA 93066-9523
(805) 377-0669
Mailing address
4800 NORTH ST, SOMIS, CA 93066-9523
(805) 377-0669
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 480
CA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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