Organization
KYLE HUISH DDS PLLC
Active
Other names
Dynamic Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE HUISH DDS (OWNER)
(602) 616-1562
Entity
Organization
Contact information
Practice address
10010 N DIVISION ST, SPOKANE, WA 99218-1305
(509) 466-2587
Mailing address
6107 HILLMONT LN, SPOKANE, WA 99217-8771
(602) 616-1562
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405124
DEPT OF LABOR AND INDUSTRIES
WA
Enumeration date
09/18/2019
Last updated
10/02/2019
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