Organization
DAHLKE ORTHODONTICS LLC
Active
Organization
DAHLKE ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK R DAHLKE DMD, MS (OWNER)
(253) 912-9383
Entity
Organization
Contact information
Practice address
1100 STATION DR, STE 281, DUPONT, WA 98327-9763
(253) 912-9383
(253) 912-1480
Mailing address
1100 STATION DR, STE 281, DUPONT, WA 98327-9763
(253) 912-9383
(253) 912-1480
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 60615411
WA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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