| Community Health Center Of Snohomish County Colby Dental | |
|
2722 Colby Ave Suite 318 Everett WA 98201-3557 | |
| (425) 551-1000 | |
| (425) 551-1001 |
| Full Name | Community Health Center Of Snohomish County Colby Dental |
|---|---|
| Speciality | Dentist |
| Location | 2722 Colby Ave, Everett, Washington |
| Authorized Official Name and Position | Kenneth M Green (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4257893700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Snohomish County Colby Dental Po Box 13060 Everett WA 98206-3060 Ph: (425) 789-3700 | Community Health Center Of Snohomish County Colby Dental 2722 Colby Ave Suite 318 Everett WA 98201-3557 Ph: (425) 551-1000 |
| NPI Number | 1164553137 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164553137 | NPI | - | NPPES |
| 5010921 | Medicaid | WA | |
| 8934243 | Other | WA | CRIME VICTIM COMPENSATION |
| 32770 | Other | WA | WORKMEN COMPENSATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5010921 (Washington) | Primary |
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