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13112 39th Ave Se Suite B Everett WA 98208-5602 | |
(425) 385-3839 | |
(425) 337-9275 |
Full Name | |
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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 |
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3314 145th Pl Se Mill Creek WA 98012-5023 Ph: (425) 385-3839 | 13112 39th Ave Se Suite B Everett WA 98208-5602 Ph: (425) 385-3839 |
NPI Number | 1629098025 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 03/19/2008 |
Identifier | Type | State | Issuer |
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1629098025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DE00007870 (Washington) | Primary |
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