Individual
MS. TANYA LYNNE SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, RDHAP
Contact information
Practice address
667 SPARROWHAWK DR, VACAVILLE, CA 95687-7782
(707) 451-8608
Mailing address
1218 BLACK OAK CT, VACAVILLE, CA 95687-7603
(707) 451-8608
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH19004 & RDHAP236
CA
Other
Enumeration date
07/06/2009
Last updated
05/20/2011
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