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Individual

DR. KIRK RAY DAHLKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1100 STATION DR STE 281, DUPONT, WA 98327-9777
(253) 912-9383
Mailing address
1100 STATION DR STE 281, DUPONT, WA 98327-9777
(253) 912-9383

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
24234
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24234
TX

Other

Enumeration date
09/22/2008
Last updated
05/02/2016
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