| Kitsap Kid's Dentistry | |
|
1344 Ne Mcwilliams Rd Suite 130 Bremerton WA 98311-3164 | |
| (360) 698-3242 | |
| Not Available |
| Full Name | Kitsap Kid's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1344 Ne Mcwilliams Rd, Bremerton, Washington |
| Authorized Official Name and Position | Jessie Banks (OWNER) |
| Authorized Official Contact | 3606983242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Kid's Dentistry 1344 Ne Mcwilliams Rd Suite 130 Bremerton WA 98311-3164 Ph: () - | Kitsap Kid's Dentistry 1344 Ne Mcwilliams Rd Suite 130 Bremerton WA 98311-3164 Ph: (360) 698-3242 |
| NPI Number | 1780956227 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780956227 | NPI | - | NPPES |
| 5053095 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00010823 (Washington) | Primary |
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