Individual
DR. TERESA HELEN CONNORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
911 11TH AVE, SUITE D, LONGVIEW, WA 98632-2547
(360) 636-2100
(360) 636-2103
Mailing address
911 11TH AVE STE D, LONGVIEW, WA 98632-2546
(360) 636-2100
(360) 636-2103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D6464
OR
122300000X
Dentist
Primary
DE00009712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5045042
MEDICAL ASSISTANCE ADMIN
WA
Enumeration date
10/05/2005
Last updated
10/29/2019
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