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NPI Code Detail

MEDICARE: SAMANTHA CVIJANOVICH RDHAP

MEDICARE: SAMANTHA CVIJANOVICH RDHAP
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 Hygienist26590CA

General Provider Information

NPI Number : 1558212654
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA CVIJANOVICH RDHAP
Provider Business Mailing Address
First Line : 584 WYETH LN
Second Line :
City : VENTURA
State : CA
Zip : 93003-7526
Country : US
Telephone Number : 805-807-4557
Fax Number :
Provider Business Practice Location Address
First Line : 506 E MAIN ST
Second Line :
City : SANTA PAULA
State : CA
Zip : 93060-2607
Country : US
Telephone Number : 805-807-4557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ SAMANTHA CVIJANOVICH RDHAP” Practice Location

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