Individual
LAVERNA LEE DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
212 SI TOWN RD, CASTLE ROCK, WA 98611-9345
(360) 749-0040
Mailing address
212 SI TOWN RD, CASTLE ROCK, WA 98611-9345
(360) 749-0040
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60493383
WA
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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