MS. Vicki San Souci, RDH

NPI #1619915014 in Missoula, Montana

Provider Information

NPI Number: 1619915014
Entity Type: Individual
Name: MS. Vicki San Souci, RDH
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 323 W ALDER ST
City: Missoula
State: Montana
ZIP Code: 59802-4123
Phone: (406) 258-4191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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