NPI 1922739747

Cathleen Constance Bourque, RDH

Practitioner Dental Hygienist Plummer, ID

Practice location

Address: 427 12th St, Plummer, ID 83851-4000
Phone: (208) 686-1931
Mailing address: 6995 N Cornwall St, Coeur D Alene, ID 83815-7101

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH-1462 (ID)

Other Dental Hygienist providers in Idaho →

Registry record

NPI: 1922739747
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2022
Record last updated: 22 Jun 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.