Individual
MR. SHAWN RANDALL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.H.
Contact information
Practice address
9037 29TH AVE SW, SEATTLE, WA 98126-3901
(206) 465-7048
Mailing address
9037 29TH AVE SW, SEATTLE, WA 98126-3901
(206) 465-7048
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 00007845
WA
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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