Individual
REGINA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2769 ARNOLD ST, DUPONT, WA 98327-8717
(253) 888-2420
Mailing address
2769 ARNOLD ST, DUPONT, WA 98327-8717
(253) 888-2420
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
CA24764
CA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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