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YOLENE DHAITI
>> Dental Hygienist >> Dental ProvidersRegistrant NPI Number: 1932754215
Individual Registrant: YOLENE DHAITI
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1381 UNIVERSITY AVENUE HEALDSBURG, CA 95448 US
Tel: 707-433-8161 Fax: --
Tel: 707-433-8161 Fax: --
Contact information for business:
1834 HARTMAN LN PETALUMA, CA 94954-2534 US
Tel: 707-338-3370 Fax: --
Tel: 707-338-3370 Fax: --
Registration Information:
NPI: 1932754215
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Providers Dental Hygienist | CA | 19826 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
