Individual
MRS. MIQUELLE RENEE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1259 N 173RD ST, SHORELINE, WA 98133-5459
(206) 265-1532
(206) 260-2712
Mailing address
PO BOX 55759, SEATTLE, WA 98155-0759
(206) 265-1532
(206) 260-2712
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006807
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901855
—
WA
Enumeration date
02/07/2007
Last updated
04/25/2011
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