Delsah Joy Ihrig, HYGENTIST

Individual provider Active NPI Dental Hygienist · Deer Park, WA

NPI 1144429044 · NPPES record last updated Dec 28, 2015

Key facts

NPI
1144429044
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH00007876 (WA)
Practice address
401 S Main Ave
Deer Park, WA 99006
Phone
(509) 444-8888
Fax
(509) 444-7806
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

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
DH00007876WAMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH00007876 WA Yes

Addresses

Primary practice location

401 S Main Ave
Deer Park, WA 99006

Mailing address

3919 N Maple St
Spokane, WA 99205-1349
Phone (509) 444-8888

Other providers in Deer Park, WA

All providers in Deer Park, WA · Dental Hygienist in Washington

Sources for this page

Verify at the official NPI Registry.