Aj Family Dentistry | |
921 Vernon Rd Lake Stevens WA 98258-7931 | |
(425) 610-4751 | |
(425) 610-4751 |
Full Name | Aj Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 921 Vernon Rd, Lake Stevens, Washington |
Authorized Official Name and Position | Johnny Ty Tien (PRESIDENT) |
Authorized Official Contact | 2533325457 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aj Family Dentistry 11820 57th Ave Se Snohomish WA 98296-6974 Ph: (425) 610-4751 | Aj Family Dentistry 921 Vernon Rd Lake Stevens WA 98258-7931 Ph: (425) 610-4751 |
NPI Number | 1750699377 |
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Provider Enumeration Date | 09/16/2010 |
Last Update Date | 09/16/2010 |
Identifier | Type | State | Issuer |
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1750699377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DE9339 (Washington) | Primary |
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