Chiwon Dunlap, RDH

Individual provider Active NPI Dental Hygienist · Issaquah, WA

NPI 1104593532 · NPPES record last updated Aug 24, 2021

Key facts

NPI
1104593532
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH00006204 (WA)
Practice address
2612 NE Magnolia St
Issaquah, WA 98029-3606
Phone
(253) 222-3156
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DH00006204WAMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH00006204 WA Yes

Addresses

Primary practice location

2612 NE Magnolia St
Issaquah, WA 98029-3606

Mailing address

2612 NE Magnolia St
Issaquah, WA 98029-3606
Phone (253) 222-3156

Other providers in Issaquah, WA

All providers in Issaquah, WA · Dental Hygienist in Washington

Sources for this page

Verify at the official NPI Registry.