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Dr. Clark Kenneth Kvistad, DDS
Periodontist in Edmonds, Washington
NPI 1093948267

Clark Kenneth Kvistad is a Periodontist based in Edmonds, WA and is specialized in Periodontics. Clark Kenneth Kvistad practices in Edmonds, WA and has the professional credentials of DDS. The NPI Number for Clark Kenneth Kvistad is 1093948267 and holds a License No. 3580 (Washington).

The current practice location address for Clark Kenneth Kvistad is 21807 76Th Ave W, Edmonds, WA and can be reached out via phone at 425-775-2002. You can also correspond with Clark Kenneth Kvistad through the mailing address at 21807 76TH AVE W, EDMONDS, WA - 98026-7938 (mailing address contact number: 425-775-2002).

Location: 21807 76Th Ave W, Edmonds, WA, 98026-7938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093948267
Provider Name
Clark Kenneth Kvistad
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
21807 76Th Ave W, Edmonds, WA, 98026-7938
Phone Number
425-775-2002
Fax Number
Provider Enumeration Date
09/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21807 76Th Ave W
City
Edmonds
State
Washington
Zip
98026-7938
Phone Number
425-775-2002
Fax Number
person
Provider Business Mailing Address Details
Address
21807 76Th Ave W
City
Edmonds
State
Washington
Zip
98026-7938
Phone Number
425-775-2002
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
3580 (Washington)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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