Stephanie Elizabeth Gordillo
Dental Hygienist
606 Ruby Rd
Livermore
, California 94550-5146
Stephanie Elizabeth Gordillo
Dental Hygienist
606 Ruby Rd
Livermore
, California 94550-5146
(510) 703-5357
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Stephanie Elizabeth Gordillo
- 606 Ruby Rd
- Livermore, CA
- Zip : 94550-5146
- Phone : (510) 703-5357
Second Address
- Stephanie Elizabeth Gordillo
- 606 Ruby Rd
- Livermore, CA
- Zip : 94550-5146
- Phone : (510) 703-5357
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | HAP835 | CA |
National Provider Identifier
| NPI | 1053985754 |
|---|---|
| Provider Name | Stephanie Elizabeth Gordillo |
| First Address | Livermore, CA 94550-5146 |
| Second Address | Livermore, CA 94550-5146 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2021 |
| Last Update Date | 17/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.