Individual
MS. JUANITA RUTH SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1270 KOT-NUM ROAD, WARM SPRINGS, OR 97761
(541) 553-2462
(541) 553-2619
Mailing address
1240 NE TYLER AVE, PRINEVILLE, OR 97754-1349
(541) 416-0471
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3463
OR
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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