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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAI K WILCOTS, DDS

Active Sole Proprietor

KAI K WILCOTS, DDS is a Dentist healthcare provider located in ZIA PUEBLO, New Mexico. NPI 1689007593 is currently active in the NPPES registry. Verify at CMS.

Dentist · ZIA PUEBLO, NM

Registration Details

NPI Number
1689007593
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2013 (12.982953044515 yrs)
Last Updated
Aug 1, 2023
License
DD4475 (NM)
Sole Proprietor
Yes

Practice Information

Address
155 CAPITAL SQUARE DRIVE
ZIA PUEBLO, NM, 87053
Browse NM providers · Browse ZIP 87053
Phone
5058675258
Primary Specialty
Dentist
122300000X
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.