Provider Demographics
NPI:1932832458
Name:FLORES, KAREN LEIGH (RDH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEIGH
Last Name:FLORES
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LEIGH
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14316 NE 108TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-3107
Mailing Address - Country:US
Mailing Address - Phone:619-787-4164
Mailing Address - Fax:
Practice Address - Street 1:14316 NE 108TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-3107
Practice Address - Country:US
Practice Address - Phone:619-787-4164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61111380124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist