| NPI | 1043267925 |
|---|---|
| Former Legal Business Name | KINCAID, MCCLARY & ZYSSET D.D.D. P.S. |
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN PLYMALE Administration 360-651-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA DE00003702) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA GA10000027) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA DE00005524) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA GA10000031) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA DE0008656) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA GA10000282) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |