Provider Demographics
NPI:1679038707
Name:ZINSER, AMBER CHRISTENE (RDHAP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:CHRISTENE
Last Name:ZINSER
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:CHRISTENE
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDA
Mailing Address - Street 1:PO BOX 1311
Mailing Address - Street 2:
Mailing Address - City:DIAMOND SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95619-1311
Mailing Address - Country:US
Mailing Address - Phone:530-903-6261
Mailing Address - Fax:
Practice Address - Street 1:1800 QUARRY RD
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-8493
Practice Address - Country:US
Practice Address - Phone:530-903-6261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-02
Last Update Date:2019-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAP696124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist