Individual
SHALIE HOUSEKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSDH, RDH
Contact information
Practice address
401 OYSTER POINT RD STE C, NEWPORT NEWS, VA 23602-6926
(757) 249-8921
Mailing address
401 OYSTER POINT RD STE C, NEWPORT NEWS, VA 23602-6926
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402004407
VA
Other
Enumeration date
05/21/2022
Last updated
02/28/2023
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