Individual
SHELLY POUST-KIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 S WOODS RD, UNITYVILLE, PA 17774-9287
(570) 458-6130
Mailing address
61 S WOODS RD, UNITYVILLE, PA 17774-9287
(570) 458-6130
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH068324
PA
124Q00000X
Dental Hygienist
Primary
PHDH000014
PA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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