Stacy L Wikstrom, DENTAL HYGIENE

NPI #1124627518 in Poulsbo, Washington

Provider Information

NPI Number: 1124627518
Entity Type: Individual
Name: Stacy L Wikstrom, DENTAL HYGIENE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENE
Enumeration Date: Oct 18, 2020
Last Updated: Oct 18, 2020

Practice Location

Address: 2235 NE CASTLE DR
City: Poulsbo
State: Washington
ZIP Code: 98370-8068
Phone: (206) 745-3808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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