Individual
MS. DIANE M HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
Mailing address
903 NW 133RD ST APT A, VANCOUVER, WA 98685-2770
(360) 574-0860
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002959
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH00002959
HYGIENE LICENSE NUMBER
WA
Enumeration date
08/25/2006
Last updated
07/08/2007
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