NPI 1508337841

Sidney Puentes

Practitioner Dental Hygienist Othello, WA

Practice location

Address: 1515 E Columbia St, Othello, WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-9939

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH60292806 (WA)

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Registry record

NPI: 1508337841
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2018
Record last updated: 17 Feb 2020

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.