Your Great Smile,inc. a Dental Hygiene Practice of Vange Leonis, Rdhap
NPI #1679072417 in Rio Vista, California
Provider Information
- NPI Number
- 1679072417
- Entity Type
- Organization
- Organization Name
- Your Great Smile,inc. a Dental Hygiene Practice of Vange Leonis, Rdhap
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 7, 2018
- Last Updated
- Feb 7, 2018
Practice Location
- Address
- 900 SAINT ANDREWS DR
- City
- Rio Vista
- State
- California
- ZIP Code
- 94571-9707
- Phone
- (415) 898-7390
Authorized Official
- Name
- VANGE IRENE LEONIS, RDHAP
- Title
- PRESIDENT
- Phone
- (415) 898-7390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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