Individual
KRISTINA DURICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13034 SE KENT KANGLEY RD, KENT, WA 98030-7965
(253) 631-6398
Mailing address
1818 E MADISON ST APT 601, SEATTLE, WA 98122-3297
(781) 775-5497
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60662124
WA
Other
Enumeration date
07/03/2014
Last updated
02/11/2020
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