Individual
DUSTY LAWELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, EP
Contact information
Practice address
2260 SW 3RD ST, CORVALLIS, OR 97333-1745
(503) 917-4221
Mailing address
2260 SW 3RD ST, CORVALLIS, OR 97333-1745
(503) 917-4221
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7259
OR
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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