Individual
MS. CHARLENE RENEE WALLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
(360) 571-3149
Mailing address
1509 NW 137TH ST, VANCOUVER, WA 98685-1805
(360) 571-3139
(360) 571-3149
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004252
WA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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