Provider Demographics
NPI:1639628571
Name:POS, BRITNEY BREANNE (RDH)
Entity Type:Individual
Prefix:MRS
First Name:BRITNEY
Middle Name:BREANNE
Last Name:POS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MRS
Other - First Name:BRITNEY
Other - Middle Name:BREANNE
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:57912 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-8622
Mailing Address - Country:US
Mailing Address - Phone:760-774-4498
Mailing Address - Fax:
Practice Address - Street 1:57912 BELMONT ST
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-8622
Practice Address - Country:US
Practice Address - Phone:760-774-4498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30503124Q00000X
CA77577126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
No126800000XDental ProvidersDental Assistant