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Ebony Shardae Helaire
General Practice Dentistry in Vallejo, California
NPI 1932736774

Ebony Shardae Helaire is a General Practice Dentistry based in Antioch, CA and is specialized in General Practice. Ebony Shardae Helaire practices in Vallejo, CA. The NPI Number for Ebony Shardae Helaire is 1932736774 and holds a License No. (California).

The current practice location address for Ebony Shardae Helaire is 415 Georgia St, Vallejo, CA and can be reached out via phone at 707-558-2000.

Location: 415 Georgia St, Vallejo, CA, 94531-9057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932736774
Provider Name
Ebony Shardae Helaire
Credential
Provider Entity Type
Individual
Gender
Female
Address
415 Georgia St, Vallejo, CA, 94531-9057
Phone Number
707-558-2000
Fax Number
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 Georgia St
City
Vallejo
State
California
Zip
94590-6004
Phone Number
707-558-2000
Fax Number
person
Provider Business Mailing Address Details
Address
415 Georgia St
City
Vallejo
State
California
Zip
94590-6004
Phone Number
707-558-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
106815 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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