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Shelly Marie Azevedo, RDH
Dental Hygienist in Lodi, California
NPI 1174021661

Shelly Marie Azevedo is a Dental Hygienist based in Lodi, CA. Shelly Marie Azevedo practices in Lodi, CA and has the professional credentials of RDH. The NPI Number for Shelly Marie Azevedo is 1174021661 and holds a License No. 11388 (California).

The current practice location address for Shelly Marie Azevedo is 311 W Oak St, Lodi, CA and can be reached out via phone at 209-327-2446.

Location: 311 W Oak St, Lodi, CA, 95240-3401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174021661
Provider Name
Shelly Marie Azevedo
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
311 W Oak St, Lodi, CA, 95240-3401
Phone Number
209-327-2446
Fax Number
Provider Enumeration Date
01/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
311 W Oak St
City
Lodi
State
California
Zip
95240-3401
Phone Number
209-327-2446
Fax Number
person
Provider Business Mailing Address Details
Address
311 W Oak St
City
Lodi
State
California
Zip
95240-3401
Phone Number
209-327-2446
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
11388 (California)
Definition
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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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