Individual
MISS MARIANNE WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7234
(707) 765-7521
Mailing address
1203 CAMINO CORTO, ROHNERT PARK, CA 94928-3590
(707) 765-7234
(707) 765-7521
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH18824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDH18824
RDH LICENSE
CA
Enumeration date
10/02/2006
Last updated
07/08/2007
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