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Organization

MICHAEL R KELSON, DDS, PLLC

Active
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Organization

MICHAEL R KELSON, DDS, PLLC

Active
Other names
Olympia Oral & Maxillofacial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ROSS KELSON D.D.S. (MEMBER)
(360) 923-5412
Entity
Organization

Contact information

Practice address
3624 ENSIGN RD NE, OLYMPIA, WA 98506-5074
(360) 923-5412
Mailing address
3624 ENSIGN RD NE, OLYMPIA, WA 98506-5074
(360) 923-5412

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7100
WA

Other

Enumeration date
05/09/2007
Last updated
08/22/2020
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