Individual
CAMILLE S. MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
620 SE KINKADE RD, MADRAS, OR 97741-2000
(541) 325-2995
Mailing address
620 SE KINKADE RD, MADRAS, OR 97741-2000
(541) 325-2995
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3136
OR
Other
Enumeration date
04/01/2012
Last updated
04/01/2012
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