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Individual

MRS. KIMBERLY SUE OCHOA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
3319 EL CAPITAN CT, MERCED, CA 95340-1406
(209) 761-0262
Mailing address
3319 EL CAPITAN CT, MERCED, CA 95340-1406
(209) 761-0262

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP146
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H00146-01
DENTI-CAL
CA
Enumeration date
12/29/2006
Last updated
07/08/2007
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