Individual
CARLA CARMEN LOIACONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
5770 WINFIELD BLVD SPC 153, SAN JOSE, CA 95123-2422
(408) 608-7292
Mailing address
5770 WINFIELD BLVD SPC 153, SAN JOSE, CA 95123-2422
(408) 608-7292
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP183
CA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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