| Kasey R. Coulson Family & Cosmetic Dentistry, Pllc | |
|
1100 S Pioneer Way Moses Lake WA 98837-2346 | |
| (509) 765-5615 | |
| (509) 765-7915 |
| Full Name | Kasey R. Coulson Family & Cosmetic Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1100 S Pioneer Way, Moses Lake, Washington |
| Authorized Official Name and Position | Mindi Stoker (OFFICE MANAGER) |
| Authorized Official Contact | 5097655615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasey R. Coulson Family & Cosmetic Dentistry, Pllc 1100 S Pioneer Way Moses Lake WA 98837-2346 Ph: (509) 765-5615 | Kasey R. Coulson Family & Cosmetic Dentistry, Pllc 1100 S Pioneer Way Moses Lake WA 98837-2346 Ph: (509) 765-5615 |
| NPI Number | 1306506894 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306506894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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