Individual
KENNETH LEE BROSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1230 S 336TH, SUITE B, FEDERAL WAY, WA 98003-6386
(253) 661-2344
(253) 661-2539
Mailing address
1230 S 336TH, SUITE B, FEDERAL WAY, WA 98003-6386
(253) 661-2344
(253) 661-2539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5228
WA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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