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Individual

MRS. TERESA A MINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDS

Contact information

Practice address
5104 NE 289TH CT, CAMAS, WA 98607-8778
(360) 834-3983
Mailing address
5104 NE 289TH CRT, CAMAS, WA 98607
(360) 834-3983

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0004209
WA

Other

Enumeration date
12/17/2008
Last updated
12/17/2008
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