Individual
DR. DAVID KRAAYENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
U OF WASHINGTON DEPARTMENT OF ORAL SURGERY, 1959 NE PACIFIC STREET; BOX 357134, SEATTLE, WA 98195-0001
(360) 318-4501
Mailing address
U OF WASHINGTON DEPARTMENT OF ORAL SURGERY, 1959 NE PACIFIC STREET; BOX 357134, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DR60468172
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2014
Last updated
07/02/2014
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