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111 Se Everett Mall Way Ste D Everett WA 98208-3208 | |
| (425) 267-3333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 Se Everett Mall Way Ste D, Everett, Washington |
| Authorized Official Name and Position | Brandon Lloyd Atkinson (PRESDIENT) |
| Authorized Official Contact | 3607664192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 296 Bow WA 98232-0296 Ph: (360) 766-4192 | 111 Se Everett Mall Way Ste D Everett WA 98208-3208 Ph: (425) 267-3333 |
| NPI Number | 1578727269 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578727269 | NPI | - | NPPES |
| 5052378 | Medicaid | WA | |
| 50519852 | Medicaid | WA |
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