Organization
KYLE BLAIR
Active
Other names
Covington Family Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KLYE S BLAIR DDS (DOCTOR)
(253) 630-5500
Entity
Organization
Contact information
Practice address
17121 SE 270TH PL STE 202, COVINGTON, WA 98042-5431
(253) 630-5500
Mailing address
17121 SE 270TH PL STE 202, COVINGTON, WA 98042-5431
(253) 630-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60170682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245546068
NPI
WA
Enumeration date
07/20/2016
Last updated
07/20/2016
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