Individual provider · Type 1 NPI

Illimani Lesbia Fregozo, RDH

Dental Hygienist · Pleasant Hill, CA

NPI number 1003117631 Active

Practice location

2100 Monument Blvd
Pleasant Hill, CA 94523-3489

Mailing address

1906 Helen Rd
Pleasant Hill, CA 94523-2712

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X25607 (CA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1003117631

Illimani Lesbia Fregozo, RDH's National Provider Identifier is 1003117631, issued on Nov 12, 2010. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Pleasant Hill, CA. The record was last updated on Nov 12, 2010.