| Duvall Family Dental | |
|
14142 Main St Ne Suite 104 Duvall WA 98019-9007 | |
| (425) 802-5806 | |
| Not Available |
| Full Name | Duvall Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14142 Main St Ne, Duvall, Washington |
| Authorized Official Name and Position | Emma Kate Etemadi (OWNER) |
| Authorized Official Contact | 4258025806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duvall Family Dental 14142 Main St Ne Suite 104 Duvall WA 98019-9007 Ph: (425) 802-5806 | Duvall Family Dental 14142 Main St Ne Suite 104 Duvall WA 98019-9007 Ph: (425) 802-5806 |
| NPI Number | 1811264005 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 11/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811264005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00010166 (Washington) | Primary |
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