Dan Kaylor

NPI #1063967537 in College Place, Washington

Provider Information

NPI Number
1063967537
Entity Type
Organization
Organization Name
Dan Kaylor
Primary Specialty
Preferred Provider Organization
Enumeration Date
Aug 24, 2016
Last Updated
Aug 24, 2016

Practice Location

Address
100 N COLLEGE AVE
ZIP Code
99324-1015
Phone
(509) 525-4177

Authorized Official

Name
DAN WESLEY KAYLOR
Title
OWNER/DENTIST
Phone
(509) 525-4177

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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