Organization
WALLY W KEGEL DDS MSD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLY W KEGEL PERIODONTIST (BUSINESS OWNER PERIODONTIST)
(206) 682-9269
Entity
Organization
Contact information
Practice address
509 OLIVE WAY, SUITE 627, SEATTLE, WA 98101-1720
(206) 682-9269
(206) 624-4140
Mailing address
509 OLIVE WAY, SUITE 627, SEATTLE, WA 98101-1720
(206) 682-9269
(206) 624-4140
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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