Individual
DEBRA A BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
40 E COULTER CREEK RD., BELFAIR, WA 98528
(360) 275-4069
(360) 275-4069
Mailing address
PO BOX 593, ALLYN, WA 98524-0593
(360) 275-4069
(360) 275-4069
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900980
—
WA
Enumeration date
12/22/2006
Last updated
07/09/2007
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