Individual
DENNIS ABUGA OBUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
USA DENTAL HEALTH ACTIVITY, 9900 LINCOLN STREET, JBLM, WA 98431
(253) 968-4079
Mailing address
USA DENTAL HEALTH ACTIVITY, 9900 LINCOLN STREET, JBLM, WA 98431
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330X2
US ARMY RDH LICENSE
TX
Enumeration date
01/30/2020
Last updated
01/30/2020
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