Individual
KELLY JO SALYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
300 PARK AVE, # 49, BUCKLEY, WA 98321
(253) 334-0225
Mailing address
PO BOX 1127, BUCKLEY, WA 98321-1127
(253) 334-0225
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004791
WA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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