Pond and Young Pllc

NPI #1912595257 in Kelso, Washington

Provider Information

NPI Number: 1912595257
Entity Type: Organization
Organization Name: Pond and Young Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 4, 2021
Last Updated: Jan 4, 2021

Practice Location

Address: 510 ALLEN ST
City: Kelso
State: Washington
ZIP Code: 98626-4139
Phone: (360) 636-5170

Authorized Official

Name: RENEE JEANETTE KJOSE
Title: MANAGER/CONTROLLER
Phone: (360) 636-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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