Healthcare Provider Details

I. General information

NPI: 1881505105
Provider Name (Legal Business Name): THE DENTAL HYGIENE PRACTICE OF OSCAR MENDOZA RDHAP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LOTUS DR
CHULA VISTA CA
91911-5928
US

IV. Provider business mailing address

125 LOTUS DR
CHULA VISTA CA
91911-5928
US

V. Phone/Fax

Practice location:
  • Phone: 619-933-7468
  • Fax:
Mailing address:
  • Phone: 619-933-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: OSCAR MENDOZA
Title or Position: OWNER
Credential: RDHAP
Phone: 619-933-7468