Individual provider · Type 1 NPI

Kayla Nicole Russell Bonham, DDS

General Practice Dentistry · Seattle, WA

NPI number 1508342015 Active

Practice location

3819 NE 45th St
Seattle, WA 98105-5144

Mailing address

3819 NE 45th St Ste A
Seattle, WA 98105-5144

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE60865965 (WA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1508342015

Kayla Nicole Russell Bonham, DDS's National Provider Identifier is 1508342015, issued on Jul 17, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Seattle, WA. The record was last updated on Mar 31, 2022.