Individual
MRS. KYLA CASTILLEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7091 W 30TH AVE, KENNEWICK, WA 99338-2559
(509) 551-1364
Mailing address
7091 W 30TH AVE, KENNEWICK, WA 99338-2559
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.61088553
WA
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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