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Dr. Lyle Duane Kelstrom, DDS
General Practice Dentistry in Vancouver, Washington
NPI 1356567333

Lyle Duane Kelstrom is a General Practice Dentistry based in Vancouver, WA and is specialized in General Practice. Lyle Duane Kelstrom practices in Vancouver, WA and has the professional credentials of DDS. The NPI Number for Lyle Duane Kelstrom is 1356567333 and holds a License No. 4874 (Washington).

The current practice location address for Lyle Duane Kelstrom is 6202 Ne Highway 99, Vancouver, WA and can be reached out via phone at 360-693-2592 and via fax at 360-750-7939.

Location: 6202 Ne Highway 99, Vancouver, WA, 98665-8747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356567333
Provider Name
Lyle Duane Kelstrom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6202 Ne Highway 99, Vancouver, WA, 98665-8747
Phone Number
360-693-2592
Fax Number
360-750-7939
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6202 Ne Highway 99
City
Vancouver
State
Washington
Zip
98665-8747
Phone Number
360-693-2592
Fax Number
360-750-7939
person
Provider Business Mailing Address Details
Address
6202 Ne Highway 99
City
Vancouver
State
Washington
Zip
98665-8747
Phone Number
360-693-2592
Fax Number
360-750-7939
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4874 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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