Individual
DORIE M SALEM-SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-9601
(360) 297-9615
Mailing address
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-9601
(360) 297-9615
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002677
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031794
—
WA
05
—
5031810
—
WA
Enumeration date
09/26/2008
Last updated
09/26/2008
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