Rupam Josan
Dental Hygienist in Vancouver, WA. Individual provider (NPI-1).
NPI number1982305066
StatusActive
Last updated in NPPESMar 15, 2023
Details
- NPI
- 1982305066
- Entity type
- Individual (NPI-1)
- Name
- Rupam Josan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2023
- Certification date
- Mar 15, 2023
- Last updated
- Mar 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | – | – | Yes |
Practice location
19005 Se 34th StVancouver, WA 98683-1450
Phone 360-726-6720
Mailing address
16911 Ne 78th WayVancouver, WA 98682-1554
Phone 201-245-3561
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