| NPI | 1043224678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODEEN CALLAGHAN Professional Director, Cascade Park 360-896-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00004025) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-05-24 |