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Individual

MRS. JAMIE LYNNE KNOTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
2716 SE 169TH AVE APT V200, VANCOUVER, WA 98683-2406
(360) 448-7070
Mailing address
2716 SE 169TH AVE APT V200, VANCOUVER, WA 98683-2406
(360) 448-7070

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00007603
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DH00007603
RDH DENTAL LICENSE
WA
Enumeration date
03/17/2008
Last updated
03/17/2008
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