Ryan Mayrus Kelso, DENTAL HYGENTIST
NPI #1730417254 in Deer Park, Washington
Provider Information
- NPI Number
- 1730417254
- Entity Type
- Individual
- Name
- Ryan Mayrus Kelso, DENTAL HYGENTIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Hygienist
- Credential
- DENTAL HYGENTIST
- Enumeration Date
- Nov 20, 2009
- Last Updated
- Feb 2, 2022
Practice Location
- Address
- 401 S MAIN ST
- City
- Deer Park
- State
- Washington
- ZIP Code
- 99006-8238
- Phone
- (509) 444-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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