| Family Group Dental Inc | |
|
909 Se Everett Mall Way B-250 Everett WA 98208 | |
| (425) 355-0600 | |
| Not Available |
| Full Name | Family Group Dental Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 909 Se Everett Mall Way, Everett, Washington |
| Authorized Official Name and Position | Yuriy Bagdasarov (OWNER) |
| Authorized Official Contact | 4253550600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Group Dental Inc 909 Se Everett Mall Way B-250 Everett WA 98208 Ph: (425) 355-0600 | Family Group Dental Inc 909 Se Everett Mall Way B-250 Everett WA 98208 Ph: (425) 355-0600 |
| NPI Number | 1508201732 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508201732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00008641 (Washington) | Primary |
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