Individual
MRS. VIRGINIA STOUT DOWNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H., O.M.T.
Contact information
Practice address
5707 REDWOOD ROAD, #19, OAKLAND, CA 94619
(510) 479-3591
Mailing address
5707 REDWOOD ROAD, #19, OAKLAND, CA 94619
(510) 479-3591
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4486
CA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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