TRAVIS S HACKNEY

SHELTON, WA
NPI1578587648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00010321)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
Dr. TRAVIS S HACKNEY DDS
615 W ALDER ST
SHELTON, WA 98584-3498
Phone number: 360-426-1676
Mailing Address
Dr. TRAVIS S HACKNEY DDS
PO BOX 398
SHELTON, WA 98584
Phone number: 360-426-1676