Organization
ROY N. KALDESTAD, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY NORMAN KALDESTAD DDS (PRESIDENT)
(253) 572-3266
Entity
Organization
Contact information
Practice address
1550 S UNION AVE, SUITE #110, TACOMA, WA 98405-1946
(253) 572-3266
(253) 572-7878
Mailing address
1550 S UNION AVE, SUITE #110, TACOMA, WA 98405-1946
(253) 572-3266
(253) 572-7878
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE 00006323
WA
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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