Individual
ANGELIQUE HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2781 S 242ND ST, DES MOINES, WA 98198-5166
(206) 212-4520
(206) 212-4525
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60677291
WA
Other
Enumeration date
05/11/2017
Last updated
03/27/2025
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