| 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 |
|---|---|
| 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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