NPI 1386855492

Diane Marie Forsmark, RDH

Practitioner Dental Hygienist Port Angeles, WA

Practice location

Address: 100 Ediz Hook Road, Port Angeles, WA 98363
Phone: (360) 417-5892
Fax: (360) 417-5899

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH00004373 (WA)

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Registry record

NPI: 1386855492
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2007
Record last updated: 2 May 2011

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.