Individual
TONYA RAE MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5205 COURTHOUSE RD, SPOTSYLVANIA, VA 22551-6390
(540) 865-7330
Mailing address
5205 COURTHOUSE RD, SPOTSYLVANIA, VA 22551-6390
(540) 895-7330
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402207909
VA
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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