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Individual

DENA GIDEON-HENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1010 SHAW AVE STE B, CLOVIS, CA 93612-3950
(559) 706-0457
Mailing address
2144 SEAHORSE CT, MADERA, CA 93637-1903
(559) 706-0457

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21240
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21240
DENTAL PROVIDER
Enumeration date
08/16/2013
Last updated
08/16/2013
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