Staci Billy, RDHAP Valid NPI

Individual provider · Dental Hygienist · San Clemente, CA

NPI

1649568130

Type

Individual (Type 1)

Primary specialty

Dental Hygienist

Specialty group

Dental Providers

Taxonomy code

124Q00000X

License number

RDHAP 356 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-07-18

Last updated

2011-07-18