NPI 1124737424

Charlea Dawn Deroche, RDH

Practitioner Dental Hygienist Missoula, MT

Practice location

Address: 830 W Central Ave, Missoula, MT 59801-7931
Phone: (406) 829-9515
Fax: (406) 829-9519

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DEN-RDH-LIC-21507 (MT)

Other Dental Hygienist providers in Montana →

Registry record

NPI: 1124737424
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2022
Record last updated: 16 Nov 2022

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.