| NPI | 1568834273 |
|---|---|
| Former Name | DAWN ELAINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H7036) |
| Additional Taxonomies | 125J00000X Dental Therapist (Licence: OR DH0016) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-08-18 |