| |
21911 76th Ave W Suite #206 Edmonds WA 98026-7918 | |
(425) 248-2900 | |
(425) 248-2905 |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 21911 76th Ave W, Edmonds, Washington |
Authorized Official Name and Position | Sheri A Mayer (BUSINESS MANAGER) |
Authorized Official Contact | 2065251515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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21911 76th Ave W Suite #206 Edmonds WA 98026-7918 Ph: (425) 248-2900 | 21911 76th Ave W Suite #206 Edmonds WA 98026-7918 Ph: (425) 248-2900 |
NPI Number | 1538614425 |
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Provider Enumeration Date | 08/20/2016 |
Last Update Date | 08/20/2016 |
Identifier | Type | State | Issuer |
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1538614425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223E0200X | Dentist - Endodontics | 533769 (Washington) | Primary |
Edmonds Oral & Facial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21701 76th Ave W Ste 202, Edmonds, WA 98026 Phone: 425-744-1724 | |
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Ann D. Liou, Dds, Msd, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22815 100th Ave W, Edmonds, WA 98020 Phone: 425-776-3166 Fax: 425-776-3881 | |
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