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Asiah Jeanmarie Gonzalez, LDT
Dental Therapist in La Conner, Washington
NPI 1194316075

Asiah Jeanmarie Gonzalez is a Dental Therapist based in La Conner, WA. Asiah Jeanmarie Gonzalez practices in La Conner, WA and has the professional credentials of LDT. The NPI Number for Asiah Jeanmarie Gonzalez is 1194316075 and holds a License No. 19-TDT-02 (Washington).

The current practice location address for Asiah Jeanmarie Gonzalez is 17395 Reservation Rd, La Conner, WA and can be reached out via phone at 360-466-3900.

Location: 17395 Reservation Rd, La Conner, WA, 98257-8802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194316075
Provider Name
Asiah Jeanmarie Gonzalez
Credential
LDT
Provider Entity Type
Individual
Gender
Female
Address
17395 Reservation Rd, La Conner, WA, 98257-8802
Phone Number
360-466-3900
Fax Number
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17395 Reservation Rd
City
La Conner
State
Washington
Zip
98257-8802
Phone Number
360-466-3900
Fax Number
person
Provider Business Mailing Address Details
Address
17395 Reservation Rd
City
La Conner
State
Washington
Zip
98257-8802
Phone Number
360-466-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
19-TDT-02 (Washington)
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
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