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Individual

LINDSAY MARIE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
635 W CEDAR POINTE WAY, NAMPA, ID 83686-5582
(208) 918-1953
(855) 544-0967
Mailing address
635 W CEDAR POINTE WAY, NAMPA, ID 83686-5582
(208) 918-1953
(855) 544-0967

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
PENDING
ID
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
433412-551
IDAHO LICENSE PENDING FILE CODE
ID
Enumeration date
06/08/2009
Last updated
03/01/2021
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