Provider Demographics
NPI:1861649600
Name:HYGENTLECARE DENTAL HYGIENE PRACTICE, KARINE STRICKLAND, RDHAP, INC.
Entity Type:Organization
Organization Name:HYGENTLECARE DENTAL HYGIENE PRACTICE, KARINE STRICKLAND, RDHAP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RDHAP
Authorized Official - Phone:831-425-8142
Mailing Address - Street 1:370 LEE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-1949
Mailing Address - Country:US
Mailing Address - Phone:831-425-8142
Mailing Address - Fax:831-425-8141
Practice Address - Street 1:370 LEE ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-1949
Practice Address - Country:US
Practice Address - Phone:831-425-8142
Practice Address - Fax:831-425-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-23
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty