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Dr. Kirk Allen Skidmore, DDS
Pediatric Dentist in Bonney Lake, Washington
NPI 1144468703

Kirk Allen Skidmore is a Pediatric Dentist based in Bonney Lake, WA and is specialized in Pediatric Dentistry. Kirk Allen Skidmore practices in Bonney Lake, WA and has the professional credentials of DDS. The NPI Number for Kirk Allen Skidmore is 1144468703 and holds a License No. DE60232222 (Washington).

The current practice location address for Kirk Allen Skidmore is 18008 State Route 410 E, Bonney Lake, WA and can be reached out via phone at 425-785-2641. You can also correspond with Kirk Allen Skidmore through the mailing address at 18008 STATE ROUTE 410 E, BONNEY LAKE, WA - 98391-7113 (mailing address contact number: 425-785-2641).

Location: 18008 State Route 410 E, Bonney Lake, WA, 98391-7113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144468703
Provider Name
Kirk Allen Skidmore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
18008 State Route 410 E, Bonney Lake, WA, 98391-7113
Phone Number
425-785-2641
Fax Number
Provider Enumeration Date
02/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18008 State Route 410 E
City
Bonney Lake
State
Washington
Zip
98391-7113
Phone Number
425-785-2641
Fax Number
person
Provider Business Mailing Address Details
Address
18008 State Route 410 E
City
Bonney Lake
State
Washington
Zip
98391-7113
Phone Number
425-785-2641
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE60232222 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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