Individual
SHAWN MARIE JANUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
39033 SUPPORT AVE, FORT HOOD, TX 76544
(254) 287-1225
Mailing address
610 POMEGRANATE CIR, HARKER HEIGHTS, TX 76548-8015
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11926
TX
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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