Individual
JAIME DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16387 FIRST ST FL 3, GUERNEVILLE, CA 95446-8817
(707) 869-2933
Mailing address
656 SPARKES RD, SEBASTOPOL, CA 95472-5043
(707) 484-9339
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23924
CA
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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