Individual
MICHAEL BRIAN KAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
228 W 1ST ST STE X, PORT ANGELES, WA 98362-2639
(360) 477-4768
Mailing address
228 W 1ST ST STE X, PORT ANGELES, WA 98362-2639
(360) 477-4768
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60939854
WA
261QD0000X
Dental Clinic/Center
—
—
292200000X
Dental Laboratory
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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