Provider Demographics
NPI:1750437711
Name:POSTMA, LINDA SUE (RDHAP,RDH)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUE
Last Name:POSTMA
Suffix:
Gender:F
Credentials:RDHAP,RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1424
Mailing Address - Street 2:
Mailing Address - City:TWAIN HARTE
Mailing Address - State:CA
Mailing Address - Zip Code:95383-1424
Mailing Address - Country:US
Mailing Address - Phone:209-988-1988
Mailing Address - Fax:209-586-5398
Practice Address - Street 1:18853 MANZANITA DR.
Practice Address - Street 2:B
Practice Address - City:TWAIN HARTE
Practice Address - State:CA
Practice Address - Zip Code:95383
Practice Address - Country:US
Practice Address - Phone:209-988-1988
Practice Address - Fax:209-586-5398
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16914124Q00000X
CA333124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist