Individual
MARINA DIMUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
8806 LILFORD AVE, HESPERIA, CA 92345-6621
(760) 552-0615
Mailing address
8806 LILFORD AVE, HESPERIA, CA 92345-6621
(760) 552-0615
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14583
CA
124Q00000X
Dental Hygienist
321
CA
Other
Enumeration date
04/01/2010
Last updated
09/09/2011
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