Individual
MS. M CLYDENE EVANS-WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
425 SW 144TH ST, BURIEN, WA 98166-1545
(206) 355-0448
Mailing address
2733 56TH AVE SW, SEATTLE, WA 98116-2221
(206) 932-8861
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006149
WA
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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