Individual
DOUGLAS FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1813 SUMNER AVE, ABERDEEN, WA 98520-4600
(360) 538-1463
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005211
WA
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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