Individual
SUSAN LYNN DEWYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 27534-0130
(910) 451-2208
Mailing address
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 27534-0130
(910) 451-2208
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5453
NC
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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