Diane Thorsen, CDA, EFDA, PTDA
NPI #1942212832 in Vancouver, Washington
Provider Information
- NPI Number
- 1942212832
- Entity Type
- Individual
- Name
- Diane Thorsen, CDA, EFDA, PTDA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- CDA, EFDA, PTDA
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 12711 SE MILL PLAIN BLVD
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98684-6053
- Phone
- (360) 896-4484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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