Kvistad, Clark Kenneth

Kvistad, Clark Kenneth is an individual health care provider with primary practice located at 21807 76Th Ave W , Edmonds WA 98026-7938. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kvistad, Clark Kenneth can be contacted via phone (425) 775-2002.

Contact Information

Primary practice address
21807 76Th Ave W Edmonds WA 98026-7938
Phone: (425) 775-2002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3580 Washington

Profile Details

NPI number 1093948267
LBN Legal business name Kvistad, Clark Kenneth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2009
Last updated Sep 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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