Organization
LINSENMAYER DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTI LINSENMAYER DDS MPH MSD (DENTIST)
(206) 920-1046
Entity
Organization
Contact information
Practice address
21 JEFFERSON WAY STE 102, KETCHIKAN, AK 99901-5951
(907) 220-9231
Mailing address
510 WARD ST # 201, SEATTLE, WA 98109-3981
(206) 920-1046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1287
AK
122300000X
Dentist
7075
WA
1223P0221X
Pediatric Dentistry
Primary
168
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639352560
NPI INDIVIDUAL
—
05
—
5017983
—
WA
05
—
DDGO25
—
AK
Enumeration date
07/23/2009
Last updated
10/19/2011
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