MEDICARE: NATALYA BAKER-TROTTER BS, RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	605385464	WA

General Provider Information

NPI Number	:	1104688829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALYA BAKER-TROTTER BS, RDH

Provider Business Mailing Address
First Line	:	19215 136TH PL SE
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-8354
Country	:	US
Telephone Number	:	415-310-0152
Fax Number	:

Provider Business Practice Location Address
First Line	:	19215 136TH PL SE
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-8354
Country	:	US
Telephone Number	:	141-531-0015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

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