Individual
MS. DIANE MARIE FORSMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
100 EDIZ HOOK ROAD, PORT ANGELES, WA 98363
(360) 417-5892
(360) 417-5899
Mailing address
100 EDIZ HOOK ROAD, PORT ANGELES, WA 98363
(360) 417-5892
(360) 417-5899
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004373
WA
Other
Enumeration date
05/24/2007
Last updated
05/02/2011
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