Individual
JONNA LEE OBERMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
US ARMY DENTAC, 9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98327
(253) 698-4079
(253) 968-5919
Mailing address
9900 LINCOLN STREET,2ND FLOOR, ATTN: CREDENTIALS OFFICE, US ARMY DENTAC, TACOMA, WA 98327
(253) 968-4079
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
WA
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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