Individual
SHELLEY DIANNE AUSMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
(360) 896-4489
Mailing address
2607 NE 307TH AVE, WASHOUGAL, WA 98671-9263
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005999
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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