MRS. Yavonne R Bolanos, RDH

NPI #1861485401 in Camp Pendleton, California

Provider Information

NPI Number: 1861485401
Entity Type: Individual
Name: MRS. Yavonne R Bolanos, RDH
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Aug 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: NAVAL DENTAL CENTER
Address 2: BOX 555221 - 41 ADC
City: Camp Pendleton
State: California
ZIP Code: 92055-5221
Phone: (760) 725-2766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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