Individual
KATHI TAYLOR HACKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
144 PRISON LN, TROY, VA 22974-3761
(434) 422-3519
Mailing address
144 PRISON LN, TROY, VA 22974-3761
(434) 422-3519
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402207080
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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