| Alderwood Progressive Dentistry | |
|
19320 40th Ave W Suite A Lynnwood WA 98036-4602 | |
| (425) 776-2126 | |
| (425) 670-8177 |
| Full Name | Alderwood Progressive Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 19320 40th Ave W, Lynnwood, Washington |
| Authorized Official Name and Position | Kyle Tanaka (PRESIDENT) |
| Authorized Official Contact | 4257762126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alderwood Progressive Dentistry 19320 40th Ave W Suite A Lynnwood WA 98036-4602 Ph: (425) 776-2126 | Alderwood Progressive Dentistry 19320 40th Ave W Suite A Lynnwood WA 98036-4602 Ph: (425) 776-2126 |
| NPI Number | 1326354226 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326354226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00010994 (Washington) | Primary |
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