Organization
DIVINE DENTAL HYGIENE PRACTICE OF AMANDA SOLIS, RDHAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA T SOLIS (PRESIDENT)
(530) 399-0103
Entity
Organization
Contact information
Practice address
9412 MIDWAY, DURHAM, CA 95938-9535
(530) 399-0103
Mailing address
PO BOX 1132, DURHAM, CA 95938-1132
(530) 399-0103
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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