Organization
DENTAL HYGIENE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH RECHEL ROSALES RDHAP (REGISTERED DENTAL HYGIENIST)
(949) 328-7895
Entity
Organization
Contact information
Practice address
26692 BRIDLEWOOD DR, LAGUNA HILLS, CA 92653-7570
(949) 328-7895
Mailing address
26692 BRIDLEWOOD DR, LAGUNA HILLS, CA 92653-7570
(949) 328-7895
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
564
CA
310400000X
Assisted Living Facility
Primary
564
CA
320700000X
Physical Disabilities Residential Treatment Facility
564
CA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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