NPI 1033630165

Kaylee Wonder, DMD

Practitioner Dentist Poulsbo, WA

Practice location

Address: 19410 8th Ave NE STE 102, Poulsbo, WA 98370-7379
Phone: (360) 779-1566
Mailing address: 1147 Loyola St NE, Olympia, WA 98516-5451

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DE60771805 (WA)

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Registry record

NPI: 1033630165
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2017
Record last updated: 13 Jul 2017

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.