Individual
BETH DIANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1600 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3115
(818) 365-8086
Mailing address
23638 LYONS AVE # 115, NEWHALL, CA 91321-2513
(661) 254-1086
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
17857
CA
Other
Enumeration date
01/29/2008
Last updated
01/30/2008
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