Provider Demographics
NPI:1922386622
Name:TRIMBLE, MARGARET ANN (RDHAP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:ANN
Other - Last Name:TRIMBLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDHAP
Mailing Address - Street 1:723 STONEYFORD DR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-3645
Mailing Address - Country:US
Mailing Address - Phone:650-994-4489
Mailing Address - Fax:
Practice Address - Street 1:723 STONEYFORD DR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-3645
Practice Address - Country:US
Practice Address - Phone:650-994-4489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA361124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist