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NPI Code Detail

MEDICARE: MS. PATRICIA OWENS DENTAL HYGIENIST HAP

MEDICARE: MS. PATRICIA OWENS DENTAL HYGIENIST HAP
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 Hygienist228CA
2124Q00000XDental Hygienist5639CA

General Provider Information

NPI Number : 1295973386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA OWENS DENTAL HYGIENIST HAP
Provider Business Mailing Address
First Line : 3721 CLUBSIDE LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2008
Country : US
Telephone Number : 916-419-4508
Fax Number :
Provider Business Practice Location Address
First Line : 3721 CLUBSIDE LANE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2005
Country : US
Telephone Number : 916-419-4508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2009
Last Update Date : 07/17/2009

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Directions to “ MS. PATRICIA OWENS DENTAL HYGIENIST HAP” Practice Location

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