Organization
KINCAID, MCCLARY & KIM D.D.S, P.S.
Active
Organization
KINCAID, MCCLARY & KIM D.D.S, P.S.
Active
Other names
Kincaid, McClary & Zysset D.D.D. P.S.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA LYNN PLYMALE (ADMINISTRATION)
(360) 651-1359
Entity
Organization
Contact information
Practice address
16410 SMOKEY POINT BLVD, SUITE 103, ARLINGTON, WA 98223-8415
(360) 658-8822
(360) 659-1275
Mailing address
16410 SMOKEY POINT BLVD, ARLINGTON, WA 98223-8415
(360) 658-8822
(360) 659-1275
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00003702
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00005524
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE0008656
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
GA10000027
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
GA10000031
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
GA10000282
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5337704
—
WA
Enumeration date
05/27/2006
Last updated
08/22/2020
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