Kitsap Dental

NPI #1194223537 in Poulsbo, Washington

Provider Information

NPI Number: 1194223537
Entity Type: Organization
Organization Name: Kitsap Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 31, 2018
Last Updated: Jan 31, 2018

Practice Location

Address: 20730 BOND RD NE STE 100
City: Poulsbo
State: Washington
ZIP Code: 98370-9000
Phone: (360) 779-2420

Authorized Official

Name: LOIS LEE, DDS
Title: DENTIST
Phone: (360) 779-2420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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