Individual
DR. ASHLEY LYNN WILDHABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 TUMWATER BLVD SE # 301, TUMWATER, WA 98501-6400
(360) 786-9354
Mailing address
111 TUMWATER BLVD SE # 301, TUMWATER, WA 98501-6400
(360) 786-9354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61085858
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1220931301
—
WA
Enumeration date
10/26/2020
Last updated
10/26/2020
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