Organization
KELLOGG & KELLOGG PS
Active
Other names
Tietan Dental Team
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON R KELLOGG DDS (SECRETARY)
(509) 522-0940
Entity
Organization
Contact information
Practice address
1602 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 522-0940
(509) 525-9063
Mailing address
1602 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 522-0940
(509) 525-9063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023346
—
WA
Enumeration date
04/20/2007
Last updated
05/31/2013
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