Provider Demographics
NPI:1447348941
Name:KESSLER, CLARA LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:CLARA
Middle Name:LYNN
Last Name:KESSLER
Suffix:
Gender:F
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:PO BOX 357
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-0357
Mailing Address - Country:US
Mailing Address - Phone:253-272-3808
Mailing Address - Fax:253-272-9375
Practice Address - Street 1:2210 N 30TH ST
Practice Address - Street 2:SUITE #B
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-3341
Practice Address - Country:US
Practice Address - Phone:253-272-3808
Practice Address - Fax:253-272-9375
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000079641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice