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Mr. Kevin C Kowalski, LD
Denturist in Mount Vernon, Washington
NPI 1306048111

Kevin C Kowalski is a Denturist based in Mount Vernon, WA. Kevin C Kowalski practices in Mount Vernon, WA and has the professional credentials of LD. The NPI Number for Kevin C Kowalski is 1306048111 and holds a License No. 0254 (Washington).

The current practice location address for Kevin C Kowalski is 1521 Leigh Way, Mount Vernon, WA and can be reached out via phone at 360-848-7614 and via fax at 360-848-6355.

Location: 1521 Leigh Way, Mount Vernon, WA, 98273-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306048111
Provider Name
Kevin C Kowalski
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
1521 Leigh Way, Mount Vernon, WA, 98273-2403
Phone Number
360-848-7614
Fax Number
360-848-6355
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
891432 01 WA UNITED CONCORDIA
5032990 05 WA
institution
Provider Business Practice Location Address Details
Address
1521 Leigh Way
City
Mount Vernon
State
Washington
Zip
98273-2403
Phone Number
360-848-7614
Fax Number
360-848-6355
person
Provider Business Mailing Address Details
Address
1521 Leigh Way
City
Mount Vernon
State
Washington
Zip
98273-2403
Phone Number
360-848-7614
Fax Number
360-848-6355
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
0254 (Washington)
Definition
Definition to come.
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