Individual
MR. DANE CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9119 MIL PARK AVE, FULTON DENTAL, JBLM, WA 98433
(253) 966-9960
Mailing address
9900 LINCOLN ST, 2ND FLOOR, ATTN: CREDENTIALS, TACOMA, WA 98327
(253) 968-4079
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1454810640
US ARMY
—
Enumeration date
10/27/2017
Last updated
06/16/2018
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