Organization
DENTAL HYGIENE MOBILE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MARKS RDH (EXECUTIVE OFFICER)
(360) 545-3543
Entity
Organization
Contact information
Practice address
2923 NE 116TH AVE, VANCOUVER, WA 98682-8720
(360) 545-3543
(360) 206-1250
Mailing address
PO BOX 871712, VANCOUVER, WA 98687-1712
(360) 545-3543
(360) 206-1250
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBSFEDEMPLOYEES
BLUECROSS BLUESHIELD FEDERAL PROGRAM
WA
01
—
DELTADENTAL
DELTA DENTAL OF OREGON AND WASHINGTON
WA
05
—
PROVIDERONE
—
WA
Enumeration date
04/23/2019
Last updated
04/23/2019
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