Tammy L Bonenfant
Dental Hygienist
150 Tejas Pl
Nipomo
, California 93444-9123
Tammy L Bonenfant
Dental Hygienist
150 Tejas Pl
Nipomo
, California 93444-9123
(805) 938-0935
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Tammy L Bonenfant
- 150 Tejas Pl
- Nipomo, CA
- Zip : 93444-9123
- Phone : (805) 938-0935
Second Address
- Tammy L Bonenfant
- 150 Tejas Pl
- Nipomo, CA
- Zip : 93444-9123
- Phone : (805) 938-0935
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | RDH 18476 | CA |
National Provider Identifier
| NPI | 1023034162 |
|---|---|
| Provider Name | Tammy L Bonenfant |
| First Address | Nipomo, CA 93444-9123 |
| Second Address | Nipomo, CA 93444-9123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 08/07/2007 |
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.