Provider Demographics
NPI:1376667485
Name:KURZ, W D (DDS)
Entity Type:Individual
Prefix:DR
First Name:W
Middle Name:D
Last Name:KURZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DENNIS ST SW
Mailing Address - Street 2:SUITE G
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6523
Mailing Address - Country:US
Mailing Address - Phone:360-786-9354
Mailing Address - Fax:360-786-8490
Practice Address - Street 1:100 DENNIS ST SW
Practice Address - Street 2:SUITE G
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-6523
Practice Address - Country:US
Practice Address - Phone:360-786-9354
Practice Address - Fax:360-786-8490
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA57211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice