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Individual

COURTNEY NICOLE DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
610 W 3RD ST, DORRIS, CA 96023-9100
(530) 397-8411
Mailing address
1220 THOMAS DR, KLAMATH FALLS, OR 97603-4188
(541) 891-0708

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
31877
CA
124Q00000X
Dental Hygienist
Primary
863
CA

Other

Enumeration date
05/27/2020
Last updated
08/11/2021
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