Organization
DAN KAYLOR
Active
Other names
dan kaylor
Organization subpart
No
Provider details
NPI number
Authorized official
DAN WESLEY KAYLOR (OWNER/DENTIST)
(509) 525-4177
Entity
Organization
Contact information
Practice address
100 N COLLEGE AVE, COLLEGE PLACE, WA 99324-1015
(509) 525-4177
Mailing address
100 N COLLEGE AVE, COLLEGE PLACE, WA 99324-1015
(509) 525-4177
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DE00005718
WA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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