Individual
JACLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH DENTAL HYGIENIST
Contact information
Practice address
1206 N DOLARWAY RD, SUITE 101, ELLENSBURG, WA 98926-8392
(509) 933-2400
(509) 933-4804
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60488625
WA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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