Mellissa Ilgen, Dds, Pllc
NPI #1386241636 in Kingston, Washington
Provider Information
- NPI Number
- 1386241636
- Entity Type
- Organization
- Organization Name
- Mellissa Ilgen, Dds, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 8, 2020
- Last Updated
- Oct 10, 2020
Practice Location
- Address
- 26114 ILLINOIS AVE NE
- City
- Kingston
- State
- Washington
- ZIP Code
- 98346-7674
- Phone
- (360) 297-3392
Authorized Official
- Name
- DR. MELLISSA ILGEN, DDS
- Title
- DENTIST
- Phone
- (206) 900-1417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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