Care Dental | |
621 128th St Sw Everett WA 98204-6319 | |
(425) 347-7722 | |
(425) 347-7723 |
Full Name | Care Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 621 128th St Sw, Everett, Washington |
Authorized Official Name and Position | Sung-a Elizabeth Ro-lee (OWNER) |
Authorized Official Contact | 4253477722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Care Dental 621 128th St Sw Everett WA 98204-6319 Ph: (425) 347-7722 | Care Dental 621 128th St Sw Everett WA 98204-6319 Ph: (425) 347-7722 |
NPI Number | 1093028706 |
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Provider Enumeration Date | 07/22/2010 |
Last Update Date | 07/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093028706 | NPI | - | NPPES |
5051198 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DE00010385 (Washington) | Primary |
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