LYLE DUANE KELSTROM

VANCOUVER, WA
NPI1356567333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  4874)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
Dr. LYLE DUANE KELSTROM dds
6202 NE HIGHWAY 99 #5
VANCOUVER, WA 98665-8747
Phone number: 360-693-2592
Mailing Address
Dr. LYLE DUANE KELSTROM dds
6202 NE HIGHWAY 99 #5
VANCOUVER, WA 98665-8747
Phone number: 360-693-2592