Individual
MICHELLE LYNETTE KONIKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
7424 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499-8134
(253) 240-2110
Mailing address
5619 S CLEMENT AVE, TACOMA, WA 98409-5317
(253) 241-1568
(253) 241-1568
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DEHY.DH.70020117
WA
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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