Individual
AMELIA SKIFSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5122 OLYMPIC DR STE A201, GIG HARBOR, WA 98335-1762
(253) 851-9171
Mailing address
5122 OLYMPIC DR STE A201, GIG HARBOR, WA 98335-1762
(253) 851-9171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60966357
WA
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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