| Buffalo Square Dental | |
|
13112 39th Ave Se Suite B Everett WA 98208-5602 | |
| (425) 385-3839 | |
| (425) 337-9275 |
| Full Name | Buffalo Square Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13112 39th Ave Se, Everett, Washington |
| Authorized Official Name and Position | Richard Huylinh Hwynn (MEMBER) |
| Authorized Official Contact | 4253853839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Square Dental 3314 145th Pl Se Mill Creek WA 98012-5023 Ph: (425) 385-3839 | Buffalo Square Dental 13112 39th Ave Se Suite B Everett WA 98208-5602 Ph: (425) 385-3839 |
| NPI Number | 1629098025 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629098025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00007870 (Washington) | Primary |
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