Organization
MIKAEL KAUTSKY D D S P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAEL KAUTSKY (PRESIDENT)
(360) 943-6378
Entity
Organization
Contact information
Practice address
1100 EASTSIDE ST SE # 4, OLYMPIA, WA 98501-7304
(360) 943-6378
(360) 705-3159
Mailing address
1100 EASTSIDE ST SE # 4, OLYMPIA, WA 98501-7304
(360) 943-6378
(360) 705-3159
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DE 00007768
WA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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