Search › Washington › 122300000X
Mckinley Self, DMD
NPI 1518007723 · on the registry since 2007 · sole proprietor
Practice
- Address
- 9902 Ne Monsaas Rd
Bainbridge Island, WA 98110 - Phone
- (360) 464-0779
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- WA, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-20
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