Individual
MS. KATIE LAVERNE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
295 LENOX AVE, APT. 302, OAKLAND, CA 94610-4659
(510) 444-1354
(510) 763-3452
Mailing address
295 LENOX AVE, APT. 302, OAKLAND, CA 94610-4659
(510) 444-1354
(510) 763-3452
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
301
CA
124Q00000X
Dental Hygienist
7053
CA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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