Individual
DR. TARA L KOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1001 FAIRVIEW AVE N, SUITE 2200, SEATTLE, WA 98109-4438
(206) 515-9500
Mailing address
1001 FAIRVIEW AVE N, SUITE 2200, SEATTLE, WA 98109-4438
(206) 515-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010368
WA
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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