Dusty Lawellin, RDH, EP

NPI #1063961977 in Corvallis, Oregon

Provider Information

NPI Number: 1063961977
Entity Type: Individual
Name: Dusty Lawellin, RDH, EP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH, EP
Enumeration Date: Oct 4, 2016
Last Updated: Oct 4, 2016

Practice Location

Address: 2260 SW 3RD ST
City: Corvallis
State: Oregon
ZIP Code: 97333-1745
Phone: (503) 917-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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