Individual
STACI A BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2235 NE CASTLE DR, POULSBO, WA 98370-8068
(206) 745-3808
(206) 745-3811
Mailing address
3377 BETHEL RD SE # 107-155, PORT ORCHARD, WA 98366-5608
(360) 602-9493
(206) 745-3811
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HL60609954
WA
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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