Individual
RICKY ROBERT KRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6108 1/2 MOTOR AVE SW, LAKEWOOD, WA 98499-1529
(253) 588-5228
(253) 582-5142
Mailing address
6108 1/2 MOTOR AVE SW, LAKEWOOD, WA 98499-1529
(253) 588-5228
(253) 582-5142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5084
WA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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