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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARMEN LEE KOEPL

Active

Dental Hygienist · MOSCOW, ID

Registration Details

NPI Number
1073095501
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2018 (7.6485086128369 yrs)
Last Updated
Mar 31, 2021
Licenses
DH60888742 (WA)
DH-3679 (ID)

Practice Information

Address
803 S MAIN ST STE 120
MOSCOW, ID, 838432695
Browse ID providers · Browse ZIP 83843
Phone
2088488300
Fax
2088825587
Primary Specialty
Dental Hygienist
124Q00000X
Additional Specialty
Dental Hygienist

Other Dental Hygienist Providers in MOSCOW, ID

Name Credential NPI
ASHLEY ANN TADEHARA 1366085847
MISS DANIELLE ANNE COURTNEY RDH 1558954693
ALAYNA FERRAN RDH 1316606908
HEATHER DIANE CRAWFORD 1366296139
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.