Provider Demographics
NPI:1922819325
Name:BERLIER, CANDACE (RDHAP)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:
Last Name:BERLIER
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1562 W DICKENSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-8756
Mailing Address - Country:US
Mailing Address - Phone:209-658-7790
Mailing Address - Fax:
Practice Address - Street 1:242 ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:CHOWCHILLA
Practice Address - State:CA
Practice Address - Zip Code:93610-2932
Practice Address - Country:US
Practice Address - Phone:209-658-7790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1128124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty