Individual
RAN TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 551-6001
(425) 551-6009
Mailing address
19311 24TH AVE W UNIT C, LYNNWOOD, WA 98036-4848
(206) 883-6294
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH61102527
WA
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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