Charlea Dawn Deroche, R.D.H.

NPI #1124737424 in Missoula, Montana

Provider Information

NPI Number: 1124737424
Entity Type: Individual
Name: Charlea Dawn Deroche, R.D.H.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H.
Enumeration Date: Nov 16, 2022
Last Updated: Nov 16, 2022

Practice Location

Address: 830 W CENTRAL AVE
City: Missoula
State: Montana
ZIP Code: 59801-7931
Phone: (406) 829-9515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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