KATIE LYNN VANDIVER

LEBANON, OR
NPI1407581242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H4783)
Enumeration Date2022-07-17
Last Update Date2022-07-17
Business Address
KATIE LYNN VANDIVER dental hygienist
37389 SCOTT DR
LEBANON, OR 97355-9596
Phone number: 541-990-9625
Mailing Address
KATIE LYNN VANDIVER dental hygienist
37389 SCOTT DR
LEBANON, OR 97355-9596
Phone number: 541-990-9625