Individual
MS. DENISE LAURANN GOUDELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 593-7216
Mailing address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 593-7216
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402002957
VA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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