Individual
KELLIE WHITCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
2505 NW ALPINE CREST WAY, ISSAQUAH, WA 98027-5490
(206) 818-1418
(425) 395-7414
Mailing address
2505 NW ALPINE CREST WAY, ISSAQUAH, WA 98027-5490
(206) 818-1418
(425) 395-7414
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60082963
WA
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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