Individual
BRIAN EDWARD ZETTERBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8208 NE STATE HIGHWAY 104, SUITE 104, KINGSTON, WA 98346-8430
(360) 297-1847
Mailing address
PO BOX 1240, KINGSTON, WA 98346-1240
(360) 297-1847
(360) 297-3481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5889
WA
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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