NPI 1396202214

Shalomie Tovyana Wing, RDH

Practitioner Dental Hygienist Lapwai, ID

Practice location

Address: 111 Bever Grade Road, Lapwai, ID 83540-8354
Phone: (208) 843-2271
Mailing address: PO Box 367, Lapwai, ID 83540-0367

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH-2568 (ID)

Other Dental Hygienist providers in Idaho →

Registry record

NPI: 1396202214
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2019
Record last updated: 27 Feb 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.