| Frederick J Worrell Dds Pllc | |
|
3625 148th St Sw Suite# B101 Lynnwood WA 98087-5577 | |
| (425) 773-4909 | |
| Not Available |
| Full Name | Frederick J Worrell Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3625 148th St Sw, Lynnwood, Washington |
| Authorized Official Name and Position | Frederick Julian Worrell (MEMBER) |
| Authorized Official Contact | 2062949001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick J Worrell Dds Pllc 16005 Ne 198th St Woodinville WA 98072-7016 Ph: () - | Frederick J Worrell Dds Pllc 3625 148th St Sw Suite# B101 Lynnwood WA 98087-5577 Ph: (425) 773-4909 |
| NPI Number | 1558752352 |
|---|---|
| Provider Enumeration Date | 02/15/2015 |
| Last Update Date | 02/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558752352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60238959 (Washington) | Primary |
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