Individual
MS. HEATHER MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
509 E. MAIN AVENUE, CREDENTIALING, CHEWELAH, WA 99109-0808
(509) 935-6001
(509) 935-4196
Mailing address
PO BOX 808, CREDENTIALING, CHEWELAH, WA 99109-0808
(509) 935-6001
(509) 935-4196
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006838
WA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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