Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DE9677 | WA |
NPI | 1154417491 |
---|---|
Provider Name | Dr. Steven David Hokett |
First Address | Vancouver, WA 98682-9448 |
Second Address | Vancouver, WA 98686-6431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |