Individual
TAMMIE JO AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4016 MAIN ST, CASSVILLE, MO 65625-9753
(417) 847-0057
Mailing address
702 N BYERS AVE, JOPLIN, MO 64801-2775
(417) 396-1881
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003301
MO
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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