Individual
DEBORAH ANN MOSS
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) 254-9158
Mailing address
23313 NE 54TH ST, VANCOUVER, WA 98682-9107
(360) 977-8741
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH00005769
RDH LICENSE
WA
Enumeration date
12/31/2018
Last updated
12/22/2021
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