Individual
DEBRA EDITH TIBBITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
33919 9TH AVE S STE 1, FEDERAL WAY, WA 98003-6724
(206) 780-6908
Mailing address
2028 ABERDEEN PL SE, RENTON, WA 98055-4530
(425) 417-2748
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004806
WA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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