# KAYLEE WONDER DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wonder Family Dental & Dentures
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326566241
- **Authorized official:** DR. KAYLEE WONDER DMD (DENTIST OWNER)
- **Authorized official phone:** (360) 779-1566

## Contact information

- **Practice address:** 19410 8TH AVE NE STE 102, POULSBO, WA 98370-7379
- **Practice address phone:** (360) 779-1566
- **Mailing address:** 19410 8TH AVE NE STE 102, POULSBO, WA 98370-7379
- **Mailing address phone:** (360) 779-1566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60771805 | WA | Yes |

## Other

- **Enumeration date:** 08/30/2017
- **Last updated:** 07/21/2022
