Organization
CAPITOL DENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NICOLE JOHNSON RDHAP (RDHAP)
(530) 370-0698
Entity
Organization
Contact information
Practice address
208 GRANDPRE PL, ROSEVILLE, CA 95747-6651
(530) 370-0698
Mailing address
208 GRANDPRE PL, ROSEVILLE, CA 95747-6651
(530) 370-0698
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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