| Edmonds Prosthodontics | |
|
22815 100th Ave W Edmonds WA 98020-5919 | |
| (425) 776-3166 | |
| (425) 776-3881 |
| Full Name | Edmonds Prosthodontics |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 22815 100th Ave W, Edmonds, Washington |
| Authorized Official Name and Position | Brenda L Heckathorn (OFFICE MANAGER) |
| Authorized Official Contact | 4257763166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmonds Prosthodontics 22815 100th Ave W Edmonds WA 98020-5919 Ph: (425) 776-3166 | Edmonds Prosthodontics 22815 100th Ave W Edmonds WA 98020-5919 Ph: (425) 776-3166 |
| NPI Number | 1851630685 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851630685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 00006629 (Washington) | Primary |
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