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21911 76th Ave W Suite #206 Edmonds WA 98026-7918 | |
| (425) 248-2900 | |
| (425) 248-2905 |
| Full Name | |
|---|---|
| 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 |
|---|---|
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 |
|---|---|
| Provider Enumeration Date | 08/20/2016 |
| Last Update Date | 08/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538614425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 533769 (Washington) | Primary |
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