Individual
DR. GREGORY WARREN KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
434 E SMITH ST, KENT, WA 98030-4546
(253) 852-2270
Mailing address
434 E SMITH ST, KENT, WA 98030-4546
(253) 852-2270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8019
STATE LICENSE #
WA
Enumeration date
02/27/2007
Last updated
07/08/2007
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