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General NPI Number Information
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NPI Number | 1043179203
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Entity Type | Organization
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Legal Business Name | ISDITH, PLLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 4407 106ST SW SUITE B
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City | MUKILTEO
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State | WA
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Zip | 98275-4712
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Country | US
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Telephone | 425-353-1009
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Fax | 425-353-8517
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Provider Business Mailing Address
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Address Line | 4407 106ST SW SUITE B
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City | MUKILTEO
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State | WA
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Zip | 98275-4712
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Country | US
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Telephone | 425-353-1009
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Fax | 425-353-8517
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Authorized Official
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Title or Position | OWNER/SURGEON
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Name | DR. KATHLEEN ELIZABETH ISDITH
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Credential | DDS
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Telephone | 425-353-1009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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