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

JACLYN LIESE, RDH

Active Sole Proprietor

JACLYN LIESE, RDH is a Dental Hygienist healthcare provider located in FERNDALE, Washington. NPI 1750041760 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · FERNDALE, WA

Registration Details

NPI Number
1750041760
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2021 (4.6421131191513 yrs)
Last Updated
Jan 19, 2022
License
DEHY.DH.61078723 (WA)
Sole Proprietor
Yes

Practice Information

Address
6060 PORTAL WAY
FERNDALE, WA, 982487833
Browse WA providers · Browse ZIP 98248
Phone
3606766177
Fax
3606713574
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in FERNDALE, WA

Name Credential NPI
MS. RENEE RODGERS BERBERENA RDH 1538479449
LEONA M GROESBECK 1538598164
TERRI PAYNE RDH 1689023194
CHELSEA HOLCOMBE RDH 1912490236
MELISSA GARDING 1184382392
MIREYA HERNANDEZ RDH 1295411809
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.