Organization
SANDEEP MANN RDHAP INC.
Active
Other names
M&M Dental Hygienist Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP K MANN RDHAP (PRESIDENT)
(209) 534-7959
Entity
Organization
Contact information
Practice address
3384 AMY DR, CORONA, CA 92882-8794
(704) 732-6204
Mailing address
3384 AMY DR, CORONA, CA 92882-8794
(209) 534-7959
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871091173
—
CA
Enumeration date
11/09/2020
Last updated
11/09/2020
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