Healthcare Provider Details

I. General information

NPI: 1437054426
Provider Name (Legal Business Name): HOLISTIC HYGIENE, DENTAL HYGIENE PRACTICE OF CARLY TRAINOR, RDHAP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 E LINE ST STE B
BISHOP CA
93514-3532
US

IV. Provider business mailing address

PO BOX 1092
MAMMOTH LAKES CA
93546-1092
US

V. Phone/Fax

Practice location:
  • Phone: 760-937-1714
  • Fax:
Mailing address:
  • Phone: 760-937-1714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARLY TRAINOR
Title or Position: CEO
Credential:
Phone: 760-937-1714