Individual
MR. KIRK M SHILLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19111 SE 34TH ST, SUITE 104, VANCOUVER, WA 98683-1449
(360) 823-0427
(360) 823-0428
Mailing address
7012 NE 40TH ST, VANCOUVER, WA 98661-3052
(360) 254-5254
(360) 944-3835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008730
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158868
LABOR & INDUSTRIES
WA
05
—
5034970
—
WA
01
—
8932839
WA ST CRIME VICTIMS
WA
Enumeration date
09/12/2006
Last updated
07/08/2007
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