Kristi Coulombe, DMD
Dentist in Salem, OR. Individual provider (NPI-1).
NPI number1487809752
StatusActive
Last updated in NPPESJul 8, 2014
Details
- NPI
- 1487809752
- Entity type
- Individual (NPI-1)
- Name
- Kristi Coulombe
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2008
- Last updated
- Jul 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D10053 | OR | Yes |
| 124Q00000X | Dental Hygienist | H5021 | OR |
Practice location
1296 Commercial St SeSuite 102
Salem, OR 97302-4200
Phone 503-399-0724
Mailing address
1550 Norway St NeSalem, OR 97301-0433
Phone 503-588-8251
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