Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 6984 | WA |
NPI | 1659597979 |
---|---|
Provider Name | Dr. Valarie A Cicrich |
First Address | Oak Harbor, WA 98277 |
Second Address | Oak Harbor, WA 98277 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |