Individual
MRS. MICHELLE MARIE HANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4393 JASMINE ROSE WAY, LEXINGTON, KY 40515-6351
(859) 948-4474
Mailing address
4393 JASMINE ROSE WAY, LEXINGTON, KY 40515-6351
(859) 948-4474
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3817
KY
124Q00000X
Dental Hygienist
H5779
OR
Other
Enumeration date
12/19/2010
Last updated
12/19/2010
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