Provider Demographics
NPI:1063246049
Name:CAMBRA, LAURA CHRISTINE (RDH)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:CHRISTINE
Last Name:CAMBRA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10825 OAKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8239
Mailing Address - Country:US
Mailing Address - Phone:775-544-4711
Mailing Address - Fax:
Practice Address - Street 1:10825 OAKHAVEN DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8239
Practice Address - Country:US
Practice Address - Phone:775-544-4711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4445124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist