Individual
RENE CACCAVALE ZAMBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
561 GRANDVIEW RD, TWIN PEAKS, CA 92391-0900
(909) 557-5598
Mailing address
PO BOX 655, TWIN PEAKS, CA 92391-0655
(909) 557-5598
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP 37
RD HAP DENTAL HYGIENIST
CA
Enumeration date
08/02/2011
Last updated
07/06/2020
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