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JOSE C CHAIDEZ-REDMILES RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1194373415

Individual Registrant:
 JOSE C CHAIDEZ-REDMILES RDH
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: --

Contact information for business:
1081 LONG BEACH BLVD APT 221  LONG BEACH, CA 90813-3297 US
Tel: 562-912-5688  Fax: --

Registration Information:
NPI: 1194373415
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CA32984

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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