Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLARK KENNETH KVISTAD, D.D.S.
ActiveDR. CLARK KENNETH KVISTAD, D.D.S. is a Periodontology healthcare provider located in EDMONDS, Washington. NPI 1093948267 is currently active in the NPPES registry. Verify at CMS.
Periodontology · EDMONDS, WA
Registration Details
- NPI Number
- 1093948267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2009 (16.909064133879 yrs)
- Last Updated
- Sep 3, 2009
- License
-
3580 (WA)
Practice Information
- Address
-
21807 76TH AVE WEDMONDS, WA, 980267938Browse WA providers · Browse ZIP 98026
- Phone
- 4257752002
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in EDMONDS, WA
| Name | Credential | NPI |
|---|---|---|
| BETSY ROCIO MOSQUERA | D.D.S. MS | 1912095969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.