Individual
ISABELLE ANN KICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 25TH AVE NE STE 205, SEATTLE, WA 98105-5668
(206) 524-1600
Mailing address
747 BROADWAY, SEATTLE, WA 98122-4379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
000000000000000
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2024
Last updated
04/13/2024
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