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Individual

MRS. DANIELLE A LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2630 CENTRAL AVE # 3349, EIELSON AFB, AK 99702-2301
(907) 377-6767
Mailing address
713 DENALI LOOP APT A, EIELSON AFB, AK 99702-1073
(719) 433-3621

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH25270
FL

Other

Enumeration date
11/23/2020
Last updated
11/23/2020
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