Individual provider · Type 1 NPI

Kelly Loraine Henriquez, RDH

Dental Hygienist · Stockton, CA

NPI number 1174282123 Active

Practice location

883 W March Ln
Stockton, CA 95207

Call (209) 636-5555 Map

Mailing address

828 N D St
Stockton, CA 95205-4323

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X34146 (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 1174282123

Kelly Loraine Henriquez, RDH's National Provider Identifier is 1174282123, issued on Dec 16, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Stockton, CA. The record was last updated on Dec 20, 2021.