Individual provider · Type 1 NPI
Rosetta Loper, CRDH
Dental Hygienist · Travis Afb, CA
Practice location
136 Cannon Dr
Travis Afb, CA 94535-1132
Mailing address
David Grant Medical Center, 151 Bodin Circle
Fairfield, CA 94535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DH22364 (FL) |
| Military Health Care Provider | 171000000X | None listed |
Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…
About NPI 1891490918
Rosetta Loper, CRDH's National Provider Identifier is 1891490918, issued on Mar 31, 2023. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Travis Afb, CA. The record was last updated on Mar 31, 2023.