| Aj Family Dentistry | |
|
921 Vernon Rd Lake Stevens WA 98258-7931 | |
| (425) 610-4751 | |
| (425) 610-4751 |
| Full Name | Aj Family Dentistry |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750699377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE9339 (Washington) | Primary |
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