Provider Demographics
NPI:1295936904
Name:TURNIPSEED, EVA LEAK (RDH)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:LEAK
Last Name:TURNIPSEED
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2155 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-1521
Mailing Address - Country:US
Mailing Address - Phone:510-848-8713
Mailing Address - Fax:510-666-1389
Practice Address - Street 1:129 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-4001
Practice Address - Country:US
Practice Address - Phone:415-362-1850
Practice Address - Fax:415-362-5912
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA02696124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist