DR. Mckinley T Self, DMD

NPI #1518007723 in Bainbridge Island, Washington

Provider Information

NPI Number: 1518007723
Entity Type: Individual
Name: DR. Mckinley T Self, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Feb 7, 2007
Last Updated: May 20, 2014

Practice Location

Address: 9902 NE MONSAAS RD
City: Bainbridge Island
State: Washington
ZIP Code: 98110-1103
Phone: (360) 464-0779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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