Individual
SANDY GAIL PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
550 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8160
(707) 465-4636
(707) 465-6070
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31737
CA
Other
Enumeration date
01/09/2018
Last updated
03/21/2018
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