Individual
MRS. YAVONNE R BOLANOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
NAVAL DENTAL CENTER, BOX 555221 - 41 ADC, CAMP PENDLETON, CA 92055-5221
(760) 725-2766
Mailing address
439 LOS ARBOLITOS BLVD, OCEANSIDE, CA 92054-1529
(760) 435-1189
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 16061
CA
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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