Provider Demographics
NPI:1386382927
Name:DELMAS, DELANIE JUNE (RDH)
Entity type:Individual
Prefix:
First Name:DELANIE
Middle Name:JUNE
Last Name:DELMAS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:DELANIE
Other - Middle Name:JUNE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:250 N SEE VEE LN
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-8130
Mailing Address - Country:US
Mailing Address - Phone:760-873-3443
Mailing Address - Fax:760-503-0205
Practice Address - Street 1:250 N SEE VEE LN
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-8130
Practice Address - Country:US
Practice Address - Phone:760-873-3443
Practice Address - Fax:760-503-0205
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATHP11576FMedicaid