Kristina Durickas
Pediatric Dentist
13034 Se Kent Kangley Rd
Kent
, Washington 98030-7965
Kristina Durickas
Pediatric Dentist
13034 Se Kent Kangley Rd
Kent
, Washington 98030-7965
(781) 775-5497
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Kristina Durickas
- 1818 E Madison St Apt 601
- Seattle, WA
- Zip : 98122-3297
- Phone : (781) 775-5497
Second Address
- Kristina Durickas
- 13034 Se Kent Kangley Rd
- Kent, WA
- Zip : 98030-7965
- Phone : (253) 631-6398
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | DE60662124 | WA |
National Provider Identifier
| NPI | 1013323674 |
|---|---|
| Provider Name | Kristina Durickas |
| First Address | Seattle, WA 98122-3297 |
| Second Address | Kent, WA 98030-7965 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2014 |
| Last Update Date | 11/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.