Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH00007578 | WA |
NPI | 1043553936 |
---|---|
Provider Name | Cathleen Marie Dunlop |
First Address | Kirkland, WA 98034-5514 |
Second Address | Kirkland, WA 98034-5514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 29/03/2013 |