Individual
KAYLYNN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6666
Mailing address
516 MAIN AVE # A, TILLAMOOK, OR 97141-3543
(503) 964-2732
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7953
OR
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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