DR. Clark Kenneth Kvistad, D.D.S.
NPI #1093948267 in Edmonds, Washington
Provider Information
- NPI Number
- 1093948267
- Entity Type
- Individual
- Name
- DR. Clark Kenneth Kvistad, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.D.S.
- Enumeration Date
- Sep 3, 2009
- Last Updated
- Sep 3, 2009
Practice Location
- Address
- 21807 76TH AVE W
- City
- Edmonds
- State
- Washington
- ZIP Code
- 98026-7938
- Phone
- (425) 775-2002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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