NPI 1508350893

Amy Lee Dibello

Practitioner Dental Hygienist Port Angeles, WA

Practice location

Address: 314 S Ennis St, Port Angeles, WA 98362-4716
Phone: (360) 565-6128

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH60658592 (WA)

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Registry record

NPI: 1508350893
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2018
Record last updated: 19 Jun 2018

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.