Individual
DAWN ANNA SACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 N ZARAGOZA RD # 2-213, EL PASO, TX 79936-8004
(586) 495-0193
Mailing address
1640 N ZARAGOZA RD # 2-213, EL PASO, TX 79936-8004
(586) 495-0193
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23298
TX
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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