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NPI Code Detail

MEDICARE: DARLENE A FERRARA RDH

MEDICARE: DARLENE A FERRARA RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist8198CA

General Provider Information

NPI Number : 1407082324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE A FERRARA RDH
Provider Business Mailing Address
First Line : 2720 43RD ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-3033
Country : US
Telephone Number : 916-452-5807
Fax Number :
Provider Business Practice Location Address
First Line : 175 W COURT ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-2913
Country : US
Telephone Number : 530-661-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2009
Last Update Date : 06/05/2009

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Directions to “ DARLENE A FERRARA RDH” Practice Location

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