Organization
OHANA DENTAL HYGIENE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CRUZ RDHAP (OWNER)
(714) 638-8709
Entity
Organization
Contact information
Practice address
12562 DALE ST UNIT 30, GARDEN GROVE, CA 92841-4565
(714) 638-8709
(714) 638-8917
Mailing address
9877 CHAPMAN AVE, STE. D #413, GARDEN GROVE, CA 92841
(714) 638-8709
(714) 638-8917
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP #354
CA
Other
Enumeration date
10/05/2011
Last updated
10/06/2011
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