# KELA HALLER NESS DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093926156
- **Authorized official:** DR. KELA HALLER NESS DDS (DENTIST)
- **Authorized official phone:** (360) 568-5411

## Contact information

- **Practice address:** 306 MAPLE AVE, SNOHOMISH, WA 98290-2526
- **Practice address phone:** (360) 568-5411
- **Mailing address:** 306 MAPLE AVE, SNOHOMISH, WA 98290-2526
- **Mailing address phone:** (360) 568-5411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00006298 | WA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020