NPI 1396488185

Anna Rae Degraffenreid

Practitioner Dental Therapist La Conner, WA

Practice location

Address: 17395 Reservation Rd, La Conner, WA 98257-8802
Phone: (360) 920-7061

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence 21-TDT-01 (WA)

Other Dental Therapist providers in Washington →

Registry record

NPI: 1396488185
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2022
Record last updated: 21 Apr 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.