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JOSE C CHAIDEZ-REDMILES RDH
>> Dental Hygienist >> Dental ProvidersRegistrant NPI Number: 1194373415
Individual Registrant: JOSE C CHAIDEZ-REDMILES RDH
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
507 S ATLANTIC BLVD EAST LOS ANGELES, CA 90022-2621 US
Tel: 323-268-9191 Fax: --
Tel: 323-268-9191 Fax: --
Contact information for business:
1081 LONG BEACH BLVD APT 221 LONG BEACH, CA 90813-3297 US
Tel: 562-912-5688 Fax: --
Tel: 562-912-5688 Fax: --
Registration Information:
NPI: 1194373415
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Providers Dental Hygienist | CA | 32984 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
