Individual
TIAH CHRISTINE ESKILDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 525-7030
(509) 280-9020
Mailing address
1614 SE RED OAK AVE, COLLEGE PLACE, WA 99324-1791
(509) 876-9746
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439516WA
—
WA
Enumeration date
12/15/2017
Last updated
03/17/2018
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