Cynthia Garcia Macdougall
Dental Hygienist in Hermosa Beach, CA. Individual provider (NPI-1).
NPI number1336748896
StatusActive
Last updated in NPPESJan 23, 2021
Details
- NPI
- 1336748896
- Entity type
- Individual (NPI-1)
- Name
- Cynthia Garcia Macdougall
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2020
- Certification date
- Jan 23, 2021
- Last updated
- Jan 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 805 | CA | Yes |
| 124Q00000X | Dental Hygienist | 23320 | CA |
Other names
- Cynthia Garcia Macdougall (Professional Name)
Practice location
444 Hermosa Ave Apt 302Hermosa Beach, CA 90254-4433
Phone 310-376-9001
Mailing address
444 Hermosa Ave Apt 302Hermosa Beach, CA 90254-4433
Phone 310-376-9001
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