Organization
MARIDEL FRANCISCO BENIGNO RDHAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIDEL FRANCISCO BENIGNO RDHAP (OWNER)
(916) 271-5711
Entity
Organization
Contact information
Practice address
8936 CAPOTE WAY, ELK GROVE, CA 95758-8026
(916) 271-5711
Mailing address
8936 CAPOTE WAY, ELK GROVE, CA 95758-8026
(916) 271-5711
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP541
CA
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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