NPI 1063967537

Dan Kaylor

Organisation Preferred Provider Organization College Place, WA

Practice location

Address: 100 N College Ave, College Place, WA 99324-1015
Phone: (509) 525-4177

Authorised official

Name: Dan Wesley Kaylor
Title: Owner/Dentist
Phone: (509) 525-4177

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence DE00005718 (WA)

Other Preferred Provider Organization providers in Washington →

Registry record

NPI: 1063967537
Entity type: Organization
NPI issued: 24 Aug 2016
Record last updated: 24 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.