Individual
JANE ELIZABETH MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
23320 HIGHWAY 99, EDMONDS, WA 98026-8744
(425) 640-5533
(425) 640-5534
Mailing address
626 ELM PL, EDMONDS, WA 98020-4646
(206) 954-3573
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002649
WA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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