Individual
DR. KEAVIN G MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2511 MERIDIAN AVE E, EDGEWOOD, WA 98371
(253) 845-8817
(253) 845-6491
Mailing address
2511 MERIDIAN AVE E, EDGEWOOD, WA 98371
(253) 845-8817
(253) 845-6491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5039441
—
WA
Enumeration date
08/11/2006
Last updated
09/01/2023
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