Individual
KELSEY LYNN ULLSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1101 N FOREST ST STE 6, BELLINGHAM, WA 98225-5195
(360) 647-1715
(360) 647-2286
Mailing address
1101 N FOREST ST STE 6, BELLINGHAM, WA 98225-5195
(360) 647-1715
(360) 647-2286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 8736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1393295
UNITED CONCORDIA
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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