Individual
KATHLEEN THERESA CHALICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
18501 106TH ST E, BONNEY LAKE, WA 98391-6075
(253) 241-8749
Mailing address
PO BOX 7773, BONNEY LAKE, WA 98391-0974
(253) 241-8749
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 00005988
WA
Other
Enumeration date
08/14/2009
Last updated
12/02/2009
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