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NPI Code Detail

MEDICARE: WENDY ANN SANTAROSA

MEDICARE: WENDY ANN SANTAROSA
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
1124Q00000XDental HygienistDH00007365WA

General Provider Information

NPI Number : 1841956042
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY ANN SANTAROSA
Provider Business Mailing Address
First Line : 611 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4932
Country : US
Telephone Number : 509-444-8888
Fax Number :
Provider Business Practice Location Address
First Line : 2211 E HARTSON AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4152
Country : US
Telephone Number : 509-444-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2021
Last Update Date : 11/11/2021

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Directions to “ WENDY ANN SANTAROSA ” Practice Location

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