| Everyone By One-lynnwood | |
|
16006 Ash Way Ste 103 Lynnwood WA 98087-6352 | |
| (425) 967-8240 | |
| (425) 967-8284 |
| Full Name | Everyone By One-lynnwood |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16006 Ash Way, Lynnwood, Washington |
| Authorized Official Name and Position | Stefany M Henderson (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 4255332655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everyone By One-lynnwood 16006 Ash Way Ste 103 Lynnwood WA 98087-6352 Ph: (425) 967-8240 | Everyone By One-lynnwood 16006 Ash Way Ste 103 Lynnwood WA 98087-6352 Ph: (425) 967-8240 |
| NPI Number | 1366802662 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366802662 | NPI | - | NPPES |
| 2056884 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60100276 (Washington) | Primary |
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