NPI 1063104354

Gabriel Paul Hetrick, RDH

Practitioner Dental Hygienist Spokane, WA

Practice location

Address: 203 E Dalke Ave, Spokane, WA 99208-8112
Phone: (509) 444-8200
Mailing address: 611 N Iron Bridge Way, Spokane, WA 99202-4932

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence IL61414202 (WA)

Other Dental Hygienist providers in Washington →

Registry record

NPI: 1063104354
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2023
Record last updated: 24 May 2023

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.