| Wally W Kegel Dds Msd Ps | |
|
509 Olive Way Suite 627 Seattle WA 98101-1720 | |
| (206) 682-9269 | |
| (206) 624-4140 |
| Full Name | Wally W Kegel Dds Msd Ps |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 509 Olive Way, Seattle, Washington |
| Authorized Official Name and Position | Wally W Kegel (BUSINESS OWNER PERIODONTIST) |
| Authorized Official Contact | 2066829269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wally W Kegel Dds Msd Ps 509 Olive Way Suite 627 Seattle WA 98101-1720 Ph: (206) 682-9269 | Wally W Kegel Dds Msd Ps 509 Olive Way Suite 627 Seattle WA 98101-1720 Ph: (206) 682-9269 |
| NPI Number | 1013123033 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013123033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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