Individual
DR. AMANDA LUCILE KRESTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
31775 STATE ROUTE 20 STE A3, OAK HARBOR, WA 98277-5104
(360) 679-9216
(360) 679-9239
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25534
FL
122300000X
Dentist
Primary
DE61483486
WA
1223G0001X
General Practice Dentistry
D9617
OR
1223G0001X
General Practice Dentistry
DDS101470
CA
1223G0001X
General Practice Dentistry
DE61483486
WA
Other
Enumeration date
09/14/2011
Last updated
02/21/2025
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