Doctor Name: | KARYL DESNEIGES HUBER |
NPI Number: | 1265811731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DN |
License Number: | DN60207531 |
Business Practice Address: | 209 West Main Street Morton, WA - 983560976 |
Business Phone Number: | 5417291095 |
Business Fax Number: | |
Mailing Address: | Po Box 976, MORTON |
State: | WA |
Postal Code: | 983560976 |
Phone Number: | 5417291095 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2015 |
NPI Last Update Date: | 06/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 122400000X |
License Number: | DN60207531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Denturist |
Taxonomy Specialization: | |
Taxonomy Definition: |