Individual
VIRGINIA REYNA-WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH-EA
Contact information
Practice address
920 MAIN ST, CALDWELL, ID 83605-3748
(208) 455-5391
(208) 455-7722
Mailing address
920 MAIN ST, CALDWELL, ID 83605-3748
(208) 455-5391
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1337-EA
ID
Other
Enumeration date
05/08/2007
Last updated
10/21/2010
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