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Mellissa Ilgen, Dds, Pllc
Dental Clinic/Center in Kingston, Washington
NPI 1386241636

Mellissa Ilgen, Dds, Pllc is a Dental Clinic/Center based in Kingston, WA and is specialized in Dental. Mellissa Ilgen, Dds, Pllc practices in Kingston, WA. The NPI Number for Mellissa Ilgen, Dds, Pllc is 1386241636 and holds a License No. (Washington).

The current practice location address for Mellissa Ilgen, Dds, Pllc is 26114 Illinois Ave Ne, Kingston, WA and can be reached out via phone at 360-297-3392.

Location: 26114 Illinois Ave Ne, Kingston, WA, 98346-0149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386241636
Provider Name
Mellissa Ilgen, Dds, Pllc
Credential
Provider Entity Type
Organization
Address
26114 Illinois Ave Ne, Kingston, WA, 98346-0149
Phone Number
360-297-3392
Fax Number
Provider Enumeration Date
10/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26114 Illinois Ave Ne
City
Kingston
State
Washington
Zip
98346-7674
Phone Number
360-297-3392
Fax Number
person
Provider Business Mailing Address Details
Address
26114 Illinois Ave Ne
City
Kingston
State
Washington
Zip
98346-7674
Phone Number
360-297-3392
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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