Individual
DR. SUSAN A KIRALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, DDS, FAGD
Contact information
Practice address
815 SPRING ST, FRIDAY HARBOR, WA 98250-9311
(360) 378-5550
(360) 370-5192
Mailing address
815 SPRING ST, FRIDAY HARBOR, WA 98250-9311
(360) 378-5550
(360) 370-5192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7617
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602263331
STATE UNIFIED BUSINESS ID
WA
01
—
65-1169730
FEDERAL TAX ID
—
Enumeration date
10/11/2006
Last updated
07/08/2007
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