Individual
KELLY HENNESSEY SOMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3615 S GRAND BLVD, SPOKANE, WA 99203-2624
(509) 456-8676
(509) 456-8679
Mailing address
3615 S GRAND BLVD, SPOKANE, WA 99203-2624
(509) 456-8676
(509) 456-8678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60861734
WA
1223G0001X
General Practice Dentistry
Primary
60861734
WA
Other
Enumeration date
07/17/2018
Last updated
08/07/2024
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