Individual
MS. BETHANY MICHELLE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19705 VIKING AVE NW STE 201, POULSBO, WA 98370-8351
(360) 377-3776
Mailing address
21110 VIKING AVE NW APT 318, POULSBO, WA 98370-0380
(360) 508-5909
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
70024272
WA
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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