Individual
MRS. TONJA SUSANN DIFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
33919 9TH AVE S STE 1, FEDERAL WAY, WA 98003-6724
(206) 780-6908
Mailing address
2133 N 172ND ST, SHORELINE, WA 98133-5511
(425) 608-0055
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60140200
WA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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