Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 327 | CA |
NPI | 1073810867 |
---|---|
Provider Name | Ms. Susan Slosing |
First Address | Lancaster, CA 93536-9050 |
Second Address | Lancaster, CA 93536-9050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2011 |
Last Update Date | 16/05/2011 |