Individual
KAILEY MARIE THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3200 DUPORTAIL ST STE 204, RICHLAND, WA 99352-6105
(509) 946-9999
Mailing address
3200 DUPORTAIL ST STE 204, RICHLAND, WA 99352-6105
(509) 946-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61655997
WA
1223P0221X
Pediatric Dentistry
Primary
DE61655997
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2023
Last updated
01/20/2026
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