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3802 Colby Ave Fl 3 Everett WA 98201-4940 | |
| (425) 252-0311 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3802 Colby Ave, Everett, Washington |
| Authorized Official Name and Position | Christian Kim (MANAGER) |
| Authorized Official Contact | 4253201405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3802 Colby Ave Fl 3 Everett WA 98201-4940 Ph: () - | 3802 Colby Ave Fl 3 Everett WA 98201-4940 Ph: (425) 252-0311 |
| NPI Number | 1831442771 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831442771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 603237179 (Washington) | Primary |
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