Individual
MS. WANDA DIXON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
166 BUCHANAN ST SE, WASHINGTON, DC 20374
(202) 433-2480
Mailing address
807 QUACKENBOS ST NW, WASHINGTON, DC 20011-1912
(202) 433-2480
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
124Q00000X
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1526
HYGIENIST
DC
Enumeration date
09/07/2005
Last updated
07/08/2007
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