CLARK KENNETH KVISTAD

EDMONDS, WA
NPI1093948267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: WA  3580)
Enumeration Date2009-09-03
Last Update Date2009-09-03
Business Address
Dr. CLARK KENNETH KVISTAD D.D.S.
21807 76TH AVE W
EDMONDS, WA 98026-7938
Phone number: 425-775-2002
Mailing Address
Dr. CLARK KENNETH KVISTAD D.D.S.
21807 76TH AVE W
EDMONDS, WA 98026-7938
Phone number: 425-775-2002