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Individual

DR. KEES PETER VON MICHALOFSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
955 PARK AVE N STE D, RENTON, WA 98057-5680
(425) 793-6003
Mailing address
1228 NE RAVENNA BLVD, SEATTLE, WA 98105-2616
(509) 939-4028

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61556534
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/21/2023
Last updated
08/16/2024
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