Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DN60406207 | WA |
NPI | 1093130247 |
---|---|
Provider Name | Svetlana Hinkle |
First Address | Issaquah, WA 98027-0124 |
Second Address | Issaquah, WA 98027-3411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2014 |
Last Update Date | 25/02/2014 |