Katie Lynn Vandiver, DENTAL HYGIENIST

NPI #1407581242 in Lebanon, Oregon

Provider Information

NPI Number
1407581242
Entity Type
Individual
Name
Katie Lynn Vandiver, DENTAL HYGIENIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dental Hygienist
Credential
DENTAL HYGIENIST
Enumeration Date
Jul 17, 2022
Last Updated
Jul 17, 2022

Practice Location

Address
37389 SCOTT DR
State
Oregon
ZIP Code
97355-9596
Phone
(541) 990-9625

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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