Individual
DR. KYLE HOUSTON HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1051 SE STATE ROUTE 3, SHELTON, WA 98584-7117
(360) 426-1676
(360) 427-4303
Mailing address
1051 SE STATE ROUTE 3, SHELTON, WA 98584-7117
(360) 426-1676
(360) 427-4303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60035243
WA
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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