Individual
DR. WELLS KURT LABBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4209 TIETON DRIVE, SUITE 101, YAKIMA, WA 98908
(509) 965-4209
(509) 965-5583
Mailing address
4209 TIETON DRIVE, SUITE 101, YAKIMA, WA 98908
(509) 965-4209
(509) 965-5583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2848
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098114
LI
—
01
—
0393
WDS
—
01
—
5003173
DSHS
—
Enumeration date
11/27/2006
Last updated
07/08/2007
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