Individual provider · Type 1 NPI

Charlene Renee Walloch, R.D.H.

Dental Hygienist · Vancouver, WA

NPI number 1740203165 Active

Practice location

14406 NE 20th Ave
Vancouver, WA 98686-1448

Fax (360) 571-3149

Mailing address

1509 NW 137th St
Vancouver, WA 98685-1805

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH00004252 (WA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1740203165

Charlene Renee Walloch, R.D.H.'s National Provider Identifier is 1740203165, issued on Jul 26, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.