Individual
SUZANNE KLUH WINANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
872 SUSSEX AVE E, TENINO, WA 98589-9287
(360) 264-2353
Mailing address
5523 COUNTRYSIDE BEACH DR NW, OLYMPIA, WA 98502-3628
(360) 790-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11180
WDS PPO DELTA
WA
01
—
1632476
UNITED CONCORDIA
WA
05
—
5046818
—
WA
01
—
785WI
REG BLUESHIELD
WA
Enumeration date
04/19/2007
Last updated
07/09/2007
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