Individual
DEANNA L. DAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1425 VICTOR AVE STE A, REDDING, CA 96003-4035
(530) 242-1108
Mailing address
PO BOX 991793, REDDING, CA 96099-1793
(530) 242-1108
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21338
CA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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