Individual
DR. KIRK ALLEN SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18008 STATE ROUTE 410 E, SUITE B, BONNEY LAKE, WA 98391-7113
(425) 785-2641
Mailing address
18008 STATE ROUTE 410 E, SUITE B, BONNEY LAKE, WA 98391-7113
(425) 785-2641
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60232222
WA
Other
Enumeration date
02/04/2009
Last updated
12/19/2014
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