Theresa Marie Anselmo, RDH
Dental Hygienist in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1144589516
StatusActive
Last updated in NPPESMay 4, 2012
Details
- NPI
- 1144589516
- Entity type
- Individual (NPI-1)
- Name
- Theresa Marie Anselmo
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2012
- Last updated
- May 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | RDH26009 | CA | Yes |
| 124Q00000X | Dental Hygienist | 2788 | CO |
Practice location
2191 Johnson AveSan Luis Obispo, CA 93401-4534
Phone 805-781-5503 · Fax 805-781-1235
Mailing address
2191 Johnson AveSan Luis Obispo, CA 93401-4534
Phone 805-781-5503 · Fax 805-781-1235
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All 9 Dental Hygienist providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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