IndividualActive
Anna Degraffenreid
NPI 1396488185 · Dental Therapist · La Conner, WA
Provider details
- NPI number
- 1396488185
- Entity type
- Individual
- Primary specialty
- Dental TherapistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 21-TDT-01 (WA)
Mailing address
17395 Reservation Rd
La Conner, WA 98257-8802
Registry dates
- Enumerated
- 2022-04-19
- Last updated
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.