# ANDREA MICHELLE PRICE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710472717
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60870697 | WA | Yes |
| 126800000X | Dental Assistant | D160434347 | WA | — |

## Other

- **Enumeration date:** 06/22/2018
- **Last updated:** 09/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0395484 | LABOR AND INDUSTRIES | WA |
| 05 | — | 2105044 | — | WA |