Individual
DR. KELLEY MICHAEL WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4543 RAINIER AVE S, SEATTLE, WA 98118-1656
(206) 722-8211
(206) 722-3249
Mailing address
4543 RAINIER AVE S, SEATTLE, WA 98118-1656
(206) 722-8211
(206) 722-3249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9721
WA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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