Individual
GILLIAN SHANNON MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 312-2489
(360) 384-2336
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 312-2489
(360) 384-2336
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HL60783437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HL60783737
WA STATE LICENSE
WA
Enumeration date
02/26/2019
Last updated
02/26/2019
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