Tammy L Bonenfant Valid NPI

Individual provider · Dental Hygienist · Nipomo, CA

NPI

1023034162

Type

Individual (Type 1)

Primary specialty

Dental Hygienist

Specialty group

Dental Providers

Taxonomy code

124Q00000X

License number

RDH 18476 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-07-14

Last updated

2007-07-08