Provider Demographics
NPI:1265604318
Name:PILANT, LINDA LEE (BSDH, RDHAP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LEE
Last Name:PILANT
Suffix:
Gender:F
Credentials:BSDH, RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 HOLBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-2008
Mailing Address - Country:US
Mailing Address - Phone:925-798-7240
Mailing Address - Fax:
Practice Address - Street 1:2290 HOLBROOK DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2008
Practice Address - Country:US
Practice Address - Phone:925-798-7240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA205124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist