Individual
LORI WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1330 LAS TABLAS RD, TEMPLETON, CA 93465-9758
(805) 542-6702
(805) 542-6703
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8017
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH25683
CA
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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