Individual
IRENE M. NYDZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
21215 SAN MIGUEL ST, WOODLAND HILLS, CA 91364-3260
(818) 264-5285
Mailing address
21215 SAN MIGUEL ST, WOODLAND HILLS, CA 91364-3260
(818) 264-5285
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 341
CA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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