Individual
MONTE SHANE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
00005768
WA
Other
Enumeration date
09/19/2011
Last updated
10/30/2015
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