Individual
ROY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 861-4088
Mailing address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 861-4088
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12967
CA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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