College Place Orthodontics Llc | |
19720 68th Ave W Suite E Lynnwood WA 98036 | |
(425) 670-2033 | |
(425) 670-2303 |
Full Name | College Place Orthodontics Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 19720 68th Ave W, Lynnwood, Washington |
Authorized Official Name and Position | Jean J Xu (MEMBER) |
Authorized Official Contact | 4256702033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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College Place Orthodontics Llc 19720 68th Ave W Suite E Lynnwood WA 98036 Ph: (425) 670-2033 | College Place Orthodontics Llc 19720 68th Ave W Suite E Lynnwood WA 98036 Ph: (425) 670-2033 |
NPI Number | 1043321441 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1043321441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00008527 (Washington) | Primary |
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