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RENE CACCAVALE ZAMBEL RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1891073201

Individual Registrant:
 RENE  CACCAVALE ZAMBEL RDH
Gender: F
Sole Proprietor

Location and contact information for practice:
561 GRANDVIEW RD  TWIN PEAKS, CA 92391-0900 US
Tel: 909-557-5598  Fax: --

Contact information for business:
PO BOX 655  TWIN PEAKS, CA 92391-0655 US
Tel: 909-557-5598  Fax: --

Registration Information:
NPI: 1891073201
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CA110

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RD HAP DENTAL HYGIENISTHAP 37CA01




HEALTH CARE JOBS CA - Page 1



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