Individual
SANDRA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5504 S CUSTER RD, SPOKANE, WA 99223-1627
(509) 981-9370
Mailing address
9908 WINTHROP DR, PASCO, WA 99301-6131
(509) 969-9693
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00007033
WA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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