Individual
DR. MICHAEL R. KELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3624 ENSIGN RD NE, SUITE A, OLYMPIA, WA 98506-5074
(360) 923-5412
(360) 923-5382
Mailing address
3624 ENSIGN RD NE, SUITE A, OLYMPIA, WA 98506-5074
(360) 923-5412
(360) 923-5382
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7100
WA
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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