Individual
LEONA M GROESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5616 3RD AVE, FERNDALE, WA 98248-8394
(360) 752-7410
(360) 383-0808
Mailing address
1357 OLIVIA CT, BELLINGHAM, WA 98226-9495
(360) 739-1938
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 00001494
WA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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