Jaclyn Johnson, DH DENTAL HYGIENIST

NPI #1154739977 in Ellensburg, Washington

Provider Information

NPI Number: 1154739977
Entity Type: Individual
Name: Jaclyn Johnson, DH DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DH DENTAL HYGIENIST
Enumeration Date: Jul 24, 2014
Last Updated: Jul 24, 2014

Practice Location

Address: 1206 N DOLARWAY RD
Address 2: SUITE 101
City: Ellensburg
State: Washington
ZIP Code: 98926-8392
Phone: (509) 933-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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