Individual
MAYUKO KOBAYASHI JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
401 S MAIN ST, DEER PARK, WA 99006-8238
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8200
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH61084208
WA
Other
Enumeration date
08/01/2021
Last updated
10/25/2021
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