| Everett Mall Way Dental Group | |
|
20 Sw Everett Mall Way Suite 1 Everett WA 98204-2700 | |
| (425) 353-6254 | |
| (425) 353-6271 |
| Full Name | Everett Mall Way Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 20 Sw Everett Mall Way, Everett, Washington |
| Authorized Official Name and Position | Thomas F Helbert (OWNER) |
| Authorized Official Contact | 4253536254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Mall Way Dental Group 20 Sw Everett Mall Way Suite 1 Everett WA 98204-2700 Ph: (425) 353-6254 | Everett Mall Way Dental Group 20 Sw Everett Mall Way Suite 1 Everett WA 98204-2700 Ph: (425) 353-6254 |
| NPI Number | 1699917302 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 03/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699917302 | NPI | - | NPPES |
| 5058326 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D00007661 (Washington) | Primary |
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