Individual
BECKY J BLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6509 N STEVENS ST, SPOKANE, WA 99208-4006
(509) 465-9973
Mailing address
6509 N STEVENS ST, SPOKANE, WA 99208-4006
(509) 465-9973
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00001259
WA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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