Individual
MICHAEL A KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
862 COLE ST, ENUMCLAW, WA 98022-2549
(360) 825-2563
(360) 825-2564
Mailing address
862 COLE ST, ENUMCLAW, WA 98022-2549
(360) 825-2563
(360) 825-2564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6324
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083762496
NPI
WA
01
—
6324
WASHINGTON STATE DENTAL LICENSE
WA
Enumeration date
08/18/2009
Last updated
08/18/2009
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