| Alderwood Children's Dentistry | |
|
19106 33rd Ave W Suite 1 Lynnwood WA 98036-4712 | |
| (425) 775-5411 | |
| (425) 771-8321 |
| Full Name | Alderwood Children's Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19106 33rd Ave W, Lynnwood, Washington |
| Authorized Official Name and Position | Clint Worton (PRESIDENT) |
| Authorized Official Contact | 4257755411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alderwood Children's Dentistry 19106 33rd Ave W Suite 1 Lynnwood WA 98036-4712 Ph: (425) 775-5411 | Alderwood Children's Dentistry 19106 33rd Ave W Suite 1 Lynnwood WA 98036-4712 Ph: (425) 775-5411 |
| NPI Number | 1922253723 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922253723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE 8714 (Washington) | Primary |
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