NPI 1134076052

Nidia Marcela Forman, RDHOMT

Practitioner Dental Hygienist Everett, WA

Practice location

Address: 500 SE Everett Mall Way STE B222, Everett, WA 98208-8128
Phone: (425) 205-5956

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DEHL.HL.60287128 (WA)

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Registry record

NPI: 1134076052
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2026
Record last updated: 11 Mar 2026

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.