Kitsap Dental | |
20730 Bond Rd Ne Ste 100 Poulsbo WA 98370-9000 | |
(360) 779-2420 | |
(360) 779-6219 |
Full Name | Kitsap Dental |
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Speciality | Clinic/center - Dental |
Location | 20730 Bond Rd Ne Ste 100, Poulsbo, Washington |
Authorized Official Name and Position | Lois Lee (DENTIST) |
Authorized Official Contact | 3607792420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kitsap Dental 20730 Bond Rd Ne Ste 100 Poulsbo WA 98370-9000 Ph: (360) 779-2420 | Kitsap Dental 20730 Bond Rd Ne Ste 100 Poulsbo WA 98370-9000 Ph: (360) 779-2420 |
NPI Number | 1194223537 |
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Provider Enumeration Date | 01/31/2018 |
Last Update Date | 01/31/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194223537 | NPI | - | NPPES |
60080602 | Other | WA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 60080602 (Washington) | Primary |
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