Individual
KASEY R. COULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 S PIONEER WAY, MOSES LAKE, WA 98837-2346
(509) 765-5615
(509) 765-7915
Mailing address
1100 S PIONEER WAY, MOSES LAKE, WA 98837-2346
(509) 765-5615
(509) 765-7915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60288842
WA
Other
Enumeration date
07/02/2012
Last updated
05/18/2022
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