Individual
LISA KAREN RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3727 257TH AVE SE, SAMMAMISH, WA 98029-5705
(206) 819-5067
Mailing address
3727 257TH AVE SE, SAMMAMISH, WA 98029-5705
(206) 819-5067
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004028
WA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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