Individual
KRIS KEVIN SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1135 116TH AVE NE STE 580, BELLEVUE, WA 98004-4628
(425) 454-4434
(425) 454-4386
Mailing address
1135 116TH AVE NE STE 580, BELLEVUE, WA 98004-4628
(425) 454-4434
(425) 454-4386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BS0999372
CONTROLLED SUBSTANCE REG
WA
01
—
DE00006231
STATE LICENSE
WA
Enumeration date
08/13/2006
Last updated
07/08/2007
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