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Clark Kvistad, D.D.S
NPI 1093948267 · on the registry since 2009
Practice
- Address
- 21807 76th Ave W
Edmonds, WA 98026 - Phone
- (425) 775-2002
- Organisation at this address
- Dkeidek Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington