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NPI Code Detail

MEDICARE: MS. BIANCA MARIA ROCHA RDH, BSDH, BS

MEDICARE:  MS. BIANCA MARIA ROCHA  RDH, BSDH, BS
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 Hygienist37505CA

General Provider Information

NPI Number : 1649157389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BIANCA MARIA ROCHA RDH, BSDH, BS
Provider Business Mailing Address
First Line : 2080 VENEZIA ST
Second Line :
City : LOS BANOS
State : CA
Zip : 93635-6438
Country : US
Telephone Number : 209-752-4446
Fax Number :
Provider Business Practice Location Address
First Line : 816 2ND ST
Second Line :
City : LOS BANOS
State : CA
Zip : 93635-4124
Country : US
Telephone Number : 209-812-0041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2025
Last Update Date : 08/15/2025

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Directions to “ MS. BIANCA MARIA ROCHA RDH, BSDH, BS” Practice Location

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