Maryann Detar
Maryann Detar is a Dental Hygienist in San Jose, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
3154 Alum Rock AveSan Jose, CA 95127-2903
Phone: (669) 232-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X · Licence 26843 (CA) |
|---|
Record details
| NPI number | 1285234047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 29, 2020 |
| Last updated in NPPES | October 29, 2020 |
| Certification date | October 29, 2020 |
| Mailing address | 3154 Alum Rock Ave, San Jose, CA 95127-2903 |
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