Individual
KAREN B OMNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
606 W 2ND ST, ERIE, PA 16507-1111
(814) 451-6700
Mailing address
10136 DUTCH RD, WATERFORD, PA 16441-2430
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH005487L
PA
Other
Enumeration date
07/21/2018
Last updated
07/21/2018
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