Individual
DR. HAL KUSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
714 N 72ND ST, SEATTLE, WA 98103-5102
(206) 239-8175
Mailing address
714 N 72ND ST, SEATTLE, WA 98103-5102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007074
WA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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