Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 22HI00170000 | NJ |
NPI | 1033146048 |
---|---|
Provider Name | Mrs. Dawn Carol Englert |
First Address | Edison, NJ 08820-1199 |
Second Address | Edison, NJ 08820-1199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 08/07/2007 |