Individual
CECILY M. FOSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3106 NORTHWEST AVE, BELLINGHAM, WA 98225-1608
(360) 647-7766
(360) 715-8780
Mailing address
3106 NORTHWEST AVE, BELLINGHAM, WA 98225-1608
(360) 647-7766
(360) 715-8780
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004296
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900295
—
WA
Enumeration date
02/21/2007
Last updated
01/18/2011
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