Organization
KRISTAN K OVERBY DDS PS
Active
Other names
DuPont Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUEZANN LASSEN SCOTT (OFFICE MANAGER)
(253) 912-4443
Entity
Organization
Contact information
Practice address
1100 STATION DR, SUITE 221, DUPONT, WA 98327-9777
(253) 912-4443
(253) 912-4426
Mailing address
1100 STATION DR, SUITE 221, DUPONT, WA 98327-9777
(253) 912-4443
(253) 912-4426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4388
WA
Other
Enumeration date
11/29/2006
Last updated
07/31/2008
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