Individual
ELIZABETH KLANIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
807 W RAILROAD AVE, SHELTON, WA 98584-3845
(360) 426-2708
Mailing address
PO BOX 465, SHELTON, WA 98584-0465
(360) 426-2708
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00001976
WA
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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