West Kent Dental LLC

NPI #1083019210 in Kent, Washington

Provider Information

NPI Number: 1083019210
Entity Type: Organization
Organization Name: West Kent Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 30, 2014
Last Updated: Oct 30, 2014

Practice Location

Address: 23241 PACIFIC HWY S
City: Kent
State: Washington
ZIP Code: 98032-2721
Phone: (253) 878-8174

Authorized Official

Name: WYATT WILSON, DMD
Title: DENTIST
Phone: (253) 878-8174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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