Kala Rose Wilson, RDH

NPI #1750712774 in Monroe, Washington

Provider Information

NPI Number: 1750712774
Entity Type: Individual
Name: Kala Rose Wilson, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Dec 1, 2013
Last Updated: Dec 1, 2013

Practice Location

Address: 22131 OLD OWEN RD
City: Monroe
State: Washington
ZIP Code: 98272-9625
Phone: (425) 343-7510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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