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Individual

DR. KAI A MAULDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1212 4TH AVE E, OLYMPIA, WA 98506-4212
(360) 357-6220
(360) 352-5412
Mailing address
1212 4TH AVE E, OLYMPIA, WA 98506-4212
(360) 357-6220
(360) 352-5412

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8811
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5042148
WA
Enumeration date
04/20/2010
Last updated
04/20/2010
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