Individual
DEBRA BASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
015-0000618
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015-0000618
HYGIENIST LICENSE
VT
Enumeration date
04/19/2007
Last updated
07/08/2007
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