Individual
MRS. KRISTA DAWN ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
22629 TWAIN HARTE DR, SUITE A, TWAIN HARTE, CA 95383-9628
(209) 586-2772
Mailing address
21261 CURTIS CREEK CT, SONORA, CA 95370-9140
(209) 588-0563
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18704
CA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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