Heather Isom Valid NPI
Individual provider · Dental Hygienist · Ft. Benning, GA
- NPI
- 1578912960
- Type
- Individual (Type 1)
- Primary specialty
- Dental Hygienist
- Specialty group
- Dental Providers
- Taxonomy code
- 124Q00000X
- License number
- DH012267 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-06-07
- Last updated
- 2021-07-28
Practice location
7101 Hoff St, Bldg 9240
Ft. Benning, GA 31905
(706) 544-1148