Provider Demographics
NPI:1588092720
Name:GARNER, HILLARY (RDH, BSDH)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:GARNER
Suffix:
Gender:F
Credentials:RDH, BSDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17724 SE 17TH WAY
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9567
Mailing Address - Country:US
Mailing Address - Phone:360-910-5078
Mailing Address - Fax:
Practice Address - Street 1:17724 SE 17TH WAY
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9567
Practice Address - Country:US
Practice Address - Phone:360-910-5078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH 60315520124Q00000X
ORH6387124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist