Eveette Michelle Tavakkoly in San Clemente - Dental Hygienist
Eveette Michelle Tavakkoly - NPI 1972709897
Eveette Michelle Tavakkoly is a Dental Hygienist in San Clemente, California. Eveette Michelle Tavakkoly practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Eveette Michelle Tavakkoly is 1972709897. The last update date is 2007-07-08.
Eveette Michelle Tavakkoly's current location address is 647 Camino De Los Mares Ste 209, San Clemente, California. You can contact this provider via phone number 9494939311. The mailing address for Eveette Michelle Tavakkoly is 647 Camino De Los Mares Ste 209, San Clemente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eveette Michelle Tavakkoly |
|---|---|
| Address | 647 Camino De Los Mares Ste 209, San Clemente, California |
| Phone Number | 9494939311 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1972709897 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 647 Camino De Los Mares Ste 209 |
|---|---|
| City | San Clemente |
| State | California (CA) |
| Post Code | 926732807 |
| Phone Number | 9494939311 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 21667 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Post Comment/ Review Below
What is the Eveette Michelle Tavakkoly's 1972709897?
The Eveette Michelle Tavakkoly's NPI (National Provider Identifier) Number is 1972709897. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Eveette Michelle Tavakkoly is physically located?
The Eveette Michelle Tavakkoly is situated at the following address: 647 Camino De Los Mares Ste 209, San Clemente, CA 926732807.
What is the area of specialization for Eveette Michelle Tavakkoly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eveette Michelle Tavakkoly is Dental Hygienist, and the corresponding taxonomy code that categorizes this area of expertise is 124Q00000X.
On what date did the Eveette Michelle Tavakkoly receive its 1972709897 assignment from the Centers for Medicare & Medicaid Services?
The Eveette Michelle Tavakkoly was assigned its 1972709897 by the Centers for Medicare & Medicaid Services on 2007-06-26.
As of what date were the details related to Eveette Michelle Tavakkoly most recently updated or revised?
The information pertaining to Eveette Michelle Tavakkoly, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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