Kamilche Dental Center

NPI #1043379480 in Shelton, Washington

Provider Information

NPI Number: 1043379480
Entity Type: Organization
Organization Name: Kamilche Dental Center
Primary Specialty: Dentist
Enumeration Date: Dec 8, 2006
Last Updated: Aug 7, 2012

Practice Location

Address: 3100 SE OLD OLYMPIC HWY
City: Shelton
State: Washington
ZIP Code: 98584-7731
Phone: (360) 427-1784

Authorized Official

Name: MR. STEVEN R PETERS, LISCENSED DENTURIST
Title: OWNER
Phone: (360) 427-1784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X
Dentist	122300000X	Primary

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