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Individual
KAYLA SHANNON BUCHANCZENKO
Active
Individual
KAYLA SHANNON BUCHANCZENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901603210
MI
124Q00000X
Dental Hygienist
Primary
2901028719
MO
Other
Enumeration date
05/19/2023
Last updated
07/27/2026
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