# KRISTAN K OVERBY DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DuPont Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902973696
- **Authorized official:** MRS. SUEZANN LASSEN SCOTT (OFFICE MANAGER)
- **Authorized official phone:** (253) 912-4443

## Contact information

- **Practice address:** 1100 STATION DR, SUITE 221, DUPONT, WA 98327-9777
- **Practice address phone:** (253) 912-4443
- **Practice address fax:** (253) 912-4426
- **Mailing address:** 1100 STATION DR, SUITE 221, DUPONT, WA 98327-9777
- **Mailing address phone:** (253) 912-4443
- **Mailing address fax:** (253) 912-4426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4388 | WA | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 07/31/2008