Individual
CAMILLE IRENE WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
370 N MAIN ST, COLVILLE, WA 99114-2310
(509) 684-1440
Mailing address
370 N MAIN ST, COLVILLE, WA 99114-2310
(509) 684-1440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4529
ID
Other
Enumeration date
11/14/2013
Last updated
05/07/2015
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