Provider Demographics
NPI:1912557240
Name:CAWSTON, ARIELLE ANASTASIA (DENTAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:ANASTASIA
Last Name:CAWSTON
Suffix:
Gender:F
Credentials:DENTAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SHORT CUT RD
Mailing Address - Street 2:
Mailing Address - City:INCHELIUM
Mailing Address - State:WA
Mailing Address - Zip Code:99138
Mailing Address - Country:US
Mailing Address - Phone:509-722-7013
Mailing Address - Fax:
Practice Address - Street 1:39 SHORT CUT RD
Practice Address - Street 2:
Practice Address - City:INCHELIUM
Practice Address - State:WA
Practice Address - Zip Code:99138
Practice Address - Country:US
Practice Address - Phone:509-722-7013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA19-TDT-13125J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes125J00000XDental ProvidersDental Therapist