NPI 1366085847

Ashley Ann Tadehara

Practitioner Dental Hygienist Moscow, ID

Practice location

Address: 803 S Main St STE 120, Moscow, ID 83843-2695
Phone: (208) 848-8300
Mailing address: 203 N Washington St STE 300, Spokane, WA 99201-0254

Registered specialties (2)

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH-3580 (ID)

Other Dental Hygienist providers in Idaho →

Dental Hygienist

Dental Providers Taxonomy 124Q00000X Licence DH61011478 (WA)

Registry record

NPI: 1366085847
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2019
Record last updated: 28 Oct 2019

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.