Kasey R. Coulson Family & Cosmetic Dentistry, Pllc

NPI #1306506894 in Moses Lake, Washington

Provider Information

NPI Number: 1306506894
Entity Type: Organization
Organization Name: Kasey R. Coulson Family & Cosmetic Dentistry, Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 23, 2021
Last Updated: May 18, 2022

Practice Location

Address: 1100 S PIONEER WAY
City: Moses Lake
State: Washington
ZIP Code: 98837-2346
Phone: (509) 765-5615

Authorized Official

Name: MINDI STOKER
Title: OFFICE MANAGER
Phone: (509) 765-5615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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