NPI 1023110087

Mary Agnes Gubala, RDH

Practitioner Dental Hygienist Vancouver, WA

Practice location

Address: 12711 SE Mill Plain Blvd, Vancouver, WA 98684-6053
Phone: (360) 896-4484

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH00002032 (WA)

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Registry record

NPI: 1023110087
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2006
Record last updated: 26 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.