Lillian Y Burke, RDHAP

Individual provider Active NPI Dental Hygienist · Sonoma, CA

NPI 1306199732 · NPPES record last updated Oct 23, 2012

Key facts

NPI
1306199732
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
HAP435 (CA)
Practice address
273 E Watmaugh Rd
Sonoma, CA 95476-7933
Phone
(707) 931-8994
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HAP435CAMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X HAP435 CA Yes

Addresses

Primary practice location

273 E Watmaugh Rd
Sonoma, CA 95476-7933

Mailing address

PO Box 2175
Sonoma, CA 95476-2175
Phone (707) 931-8994

Other names

  • Lillian Y Hui Former name

Other providers in Sonoma, CA

All providers in Sonoma, CA · Dental Hygienist in California

Sources for this page

Verify at the official NPI Registry.