Individual
MALY VILICHAY QUINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH23328
Contact information
Practice address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
(619) 445-1188
Mailing address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
(619) 659-3140
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH23328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDH23328
DENTAL HYGIENE COMMITTEE OF CALIFORNIA
CA
Enumeration date
01/10/2018
Last updated
01/10/2018
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