Individual
TAMMY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1350 E MAIN ST, GRASS VALLEY, CA 95945-5208
(530) 477-8545
Mailing address
PO BOX 304, WEIMAR, CA 95736-0304
(808) 557-0420
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30244
CA
Other
Enumeration date
08/24/2021
Last updated
10/03/2025
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