Kaiser Permanente Dental Care Program

NPI 1043224678 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1043224678
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JODEEN JODEEN
Position PROFESSIONAL DIRECTOR, CASCADE PARK
Phone (360) 896-4484
Fax
Practice Location
12711 SE MILL PLAIN BLVD
VANCOUVER WA, 98684-6053, US
Phone (360) 896-4484
Fax
Business Location
510 W 34TH ST
VANCOUVER WA, 98660-1811, US
Phone (360) 695-7208
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Washington
License Number DH00004025
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According to our database, Kaiser Permanente Dental Care Program NPI is 1043224678, taxonomy code is 124Q00000X and license number is DH00004025, license state is located at Washington. Kaiser Permanente Dental Care Program physically located at 12711 Se Mill Plain Blvd, Vancouver WA, 98684-6053. NPI Number 1033115704 has the healthcare provider type.

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1043224678 NPI number is provided on an as is basis without warranty of any kind. 1043224678 is maintained by the National Plan & Provider Enumeration System. The contents of Kaiser Permanente Dental Care Program are for informational purposes only.