| Kingston Dental | |
|
25985 Barber Cut Off Rd Ne Suite B2 Kingston WA 98346-9596 | |
| (360) 297-2298 | |
| (360) 297-8445 |
| Full Name | Kingston Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25985 Barber Cut Off Rd Ne, Kingston, Washington |
| Authorized Official Name and Position | Sean M Couch (PRESIDENT) |
| Authorized Official Contact | 3602972298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingston Dental 25985 Barber Cut Off Rd Ne Suite B2 Kingston WA 98346-9596 Ph: (360) 297-2298 | Kingston Dental 25985 Barber Cut Off Rd Ne Suite B2 Kingston WA 98346-9596 Ph: (360) 297-2298 |
| NPI Number | 1346677630 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 10/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346677630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009374 (Washington) | Primary |
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