Whalio Doctors

NPI 1003117631

Illimani Lesbia Fregozo, RDH

Practitioner Dental Hygienist Pleasant Hill, CA

Practice location

Address
2100 Monument Blvd, Pleasant Hill, CA 94523-3489
Phone
(925) 363-1256
Mailing address
1906 Helen Rd, Pleasant Hill, CA 94523-2712

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 25607 (CA)

Registry record

NPI
1003117631
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Nov 2010
Record last updated
12 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.