Organization
KIRKLAND KIDS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON STEWART DKEIDEK D.D.S. CERT. (PEDIATRIC DENTIST)
(716) 725-4676
Entity
Organization
Contact information
Practice address
13118 121ST WAY NE, SUITE 103, KIRKLAND, WA 98034-3004
(716) 725-4676
Mailing address
13118 121ST WAY NE, SUITE 103, KIRKLAND, WA 98034-3004
(716) 725-4676
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60124299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008604
—
WA
Enumeration date
05/20/2015
Last updated
05/20/2015
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