Most Relevant Information
Provider Data
| NPI Number: | 1003828203 |
| Provider Name: | MARY MICHELLE WADE RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | H2787 |
Most Important Dates
| Enumeration Date: | 08/13/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2300 LANCASTER DR NE
SALEM
OR
973051223
Practice Location Phone/Fax
| Phone: | 5033704843 |
| Fax: |
Provider Mailing Location
3062 SEMINOLE RD NE
SILVERTON
OR
973819469
Provider Mailing Phone/Fax
| Phone: | 5038735982 |
| Fax: |