NPI 1477046027

Roy Campbell, RDA

Practitioner Dental Hygienist Fort Bragg, CA

Practice location

Address: 205 South St, Fort Bragg, CA 95437-5540
Phone: (707) 861-4088

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 12967 (CA)

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Registry record

NPI: 1477046027
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2018
Record last updated: 8 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.