Individual
LINDSEY MARIE TENNANT-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
60776997
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60776997
DENTAL HYGIENE LICENSE
WA
Enumeration date
09/03/2020
Last updated
05/18/2023
Update your record
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