Provider Demographics
NPI:1932680675
Name:KRISTINE AADLAND 2 DMD PLLC
Entity Type:Organization
Organization Name:KRISTINE AADLAND 2 DMD PLLC
Other - Org Name:WEST VANCOUVER DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AADLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-573-6047
Mailing Address - Street 1:117 E 39TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2229
Mailing Address - Country:US
Mailing Address - Phone:360-694-7931
Mailing Address - Fax:
Practice Address - Street 1:117 E 39TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2229
Practice Address - Country:US
Practice Address - Phone:360-694-7931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental