Provider Demographics
NPI:1902678121
Name:LANGBEHN, ASHLEY LOUISE (RDHAP)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:LOUISE
Last Name:LANGBEHN
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 1:57019 YUCCA TRL STE C
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-7909
Mailing Address - Country:US
Mailing Address - Phone:760-820-4131
Mailing Address - Fax:
Practice Address - Street 1:57019 YUCCA TRL STE C
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-7909
Practice Address - Country:US
Practice Address - Phone:760-820-4131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26604124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist