Individual
ROBERTA JUDITH SIMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
30035 HAUN RD BLDG B, MENIFEE, CA 92584-6805
(951) 566-9090
Mailing address
30035 HAUN RD BLDG B, MENIFEE, CA 92584-6805
(951) 566-6060
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
51035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51035
—
CA
Enumeration date
07/20/2018
Last updated
07/20/2018
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