Individual
CASSANDRA DAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
109 3RD ST, LINCOLN, IL 62656-2604
(217) 735-2317
Mailing address
109 3RD ST, LINCOLN, IL 62656-2604
(217) 735-2317
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.013583
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IL
—
IL
Enumeration date
01/27/2021
Last updated
01/27/2021
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