Individual
DR. KEVIN GERALD OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9750 NE 120TH PL, KIRKLAND, WA 98034-4282
(206) 679-3372
Mailing address
8931 NE 1ST ST, BELLEVUE, WA 98004-4816
(206) 679-3372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00011104
WA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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