NPI 1073095501

Carmen Lee Koepl

Practitioner Dental Hygienist Moscow, ID

Practice location

Address: 803 S Main St STE 120, Moscow, ID 83843-2695
Phone: (208) 848-8300
Fax: (208) 882-5587
Mailing address: 611 N Iron Bridge Way, Spokane, WA 99202-4932

Registered specialties (2)

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH-3679 (ID)

Other Dental Hygienist providers in Idaho →

Dental Hygienist

Dental Providers Taxonomy 124Q00000X Licence DH60888742 (WA)

Registry record

NPI: 1073095501
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2018
Record last updated: 31 Mar 2021

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.