Provider Demographics
NPI:1073271680
Name:DILLON, CYNTHIA M (RDHAP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:DILLON
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22738 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-3308
Mailing Address - Country:US
Mailing Address - Phone:510-862-1367
Mailing Address - Fax:
Practice Address - Street 1:22268 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2723
Practice Address - Country:US
Practice Address - Phone:510-862-1367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA836124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist