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Individual

KRISTAN K OVERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1100 STATION DR, SUITE 221, DUPONT, WA 98327-9777
(253) 912-4433
(253) 912-4426
Mailing address
1100 STATION DR, SUITE 221, DUPONT, WA 98327-9777
(253) 912-4433
(253) 912-4426

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WA4388
WA

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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