Individual
JASON CAMILING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
133 PLAZA DR, VALLEJO, CA 94591-3703
(707) 557-6245
Mailing address
133 PLAZA DR, VALLEJO, CA 94591-3703
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21860
RDH
CA
05
—
21860
—
CA
Enumeration date
01/09/2019
Last updated
01/09/2019
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