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3125 Colby Ave Ste D Everett WA 98201-4032 | |
| (360) 259-4156 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3125 Colby Ave Ste D, Everett, Washington |
| Authorized Official Name and Position | Heather Carrie Eggenberger (OWNER/DENTIST) |
| Authorized Official Contact | 3602594156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3125 Colby Ave Ste D Everett WA 98201-4032 Ph: (360) 259-4156 | 3125 Colby Ave Ste D Everett WA 98201-4032 Ph: (360) 259-4156 |
| NPI Number | 1114358686 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114358686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60084768 (Washington) | Primary |
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