Wally W Kegel DDS Msd Ps
NPI #1013123033 in Seattle, Washington
Provider Information
- NPI Number
- 1013123033
- Entity Type
- Organization
- Organization Name
- Wally W Kegel DDS Msd Ps
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 509 OLIVE WAY
- Address 2
- SUITE 627
- City
- Seattle
- State
- Washington
- ZIP Code
- 98101-1720
- Phone
- (206) 682-9269
Authorized Official
- Name
- DR. WALLY W KEGEL, PERIODONTIST
- Title
- BUSINESS OWNER PERIODONTIST
- Phone
- (206) 682-9269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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