Individual
DR. KENNETH CHARLES DAHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4502 S STEELE ST, STE 304B, TACOMA, WA 98409-7242
(253) 475-3937
(253) 473-4278
Mailing address
4502 S STEELE ST, STE 304B, TACOMA, WA 98409-7258
(253) 475-3937
(253) 473-4278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029411
—
WA
Enumeration date
06/16/2005
Last updated
12/26/2012
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