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Individual

DR. CYNTHIA LYNN KOUDELA

Active
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Individual

DR. CYNTHIA LYNN KOUDELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S., M.S.D

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006021
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0113407
MT
05
5048822
WA
05
807251600
ID
05
DD474WA
AK
Enumeration date
10/15/2006
Last updated
06/02/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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