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12121 Highway 99 Everett WA 98204-5516 | |
| (425) 355-5233 | |
| (425) 353-1314 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12121 Highway 99, Everett, Washington |
| Authorized Official Name and Position | Donna Diane Perkins (PRACTICE MANAGER) |
| Authorized Official Contact | 4253555233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12121 Highway 99 Everett WA 98204-5516 Ph: (425) 355-5233 | 12121 Highway 99 Everett WA 98204-5516 Ph: (425) 355-5233 |
| NPI Number | 1821432311 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 04/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821432311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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