Provider Demographics
NPI:1114394970
Name:GALDAMEZ, LINDA ROCIO (RDA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ROCIO
Last Name:GALDAMEZ
Suffix:
Gender:F
Credentials:RDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11251 REDDIFORD CT
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-2340
Mailing Address - Country:US
Mailing Address - Phone:951-965-0482
Mailing Address - Fax:
Practice Address - Street 1:11251 REDDIFORD CT
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-2340
Practice Address - Country:US
Practice Address - Phone:951-965-0482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75116126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant