DAMIEN ERIC LAWHORN

PINE RIDGE, SD
NPI1154862068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  DH3623)
Enumeration Date2017-03-10
Last Update Date2017-03-10
Business Address
Mr. DAMIEN ERIC LAWHORN RDH
EAST HWY 18
PINE RIDGE, SD 57770-1201
Phone number: 605-867-3078
Mailing Address
Mr. DAMIEN ERIC LAWHORN RDH
PO BOX 1201
PINE RIDGE, SD 57770-1201
Phone number: 605-867-3078