Provider Demographics
NPI:1043927056
Name:FLOURISH DENTAL HYGIENE PRACTICE OF YAZMIN DEL TORO MACIAS RDHAP
Entity Type:Organization
Organization Name:FLOURISH DENTAL HYGIENE PRACTICE OF YAZMIN DEL TORO MACIAS RDHAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDHAP
Authorized Official - Prefix:
Authorized Official - First Name:YAZMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL TORO MACIAS
Authorized Official - Suffix:
Authorized Official - Credentials:RDHAP
Authorized Official - Phone:661-296-3111
Mailing Address - Street 1:25350 MAGIC MOUNTAIN PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25350 MAGIC MOUNTAIN PKWY STE 300
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1356
Practice Address - Country:US
Practice Address - Phone:661-296-3111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty