Individual
BRENDA ARCHAMBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2441 US HIGHWAY 98 W, STE 107, SANTA ROSA BEACH, FL 32459-5385
(850) 622-2226
Mailing address
471 CARSON OAKS LN, SANTA ROSA BEACH, FL 32459-7159
(850) 503-1943
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22387
FL
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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