DR. Kenneth Wayne Stilts, D.D.S.

NPI #1972701498 in Morro Bay, California

Provider Information

NPI Number: 1972701498
Entity Type: Individual
Name: DR. Kenneth Wayne Stilts, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 545 MAIN ST
Address 2: SUITE B-2
City: Morro Bay
State: California
ZIP Code: 93442-2522
Phone: (805) 772-2731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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