Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 34288 | CA |
NPI | 1073276317 |
---|---|
Provider Name | Paula Chebat |
First Address | Encinitas, CA 92024-1045 |
Second Address | Encinitas, CA 92024-1045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2021 |
Last Update Date | 13/10/2021 |