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13410 Highway 99 Ste 202 Everett WA 98204-5454 | |
| (425) 743-1711 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13410 Highway 99 Ste 202, Everett, Washington |
| Authorized Official Name and Position | Young Kim (VICE-PRESIDENT) |
| Authorized Official Contact | 4257431711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13410 Highway 99 Ste 202 Everett WA 98204-5454 Ph: (425) 743-1711 | 13410 Highway 99 Ste 202 Everett WA 98204-5454 Ph: (425) 743-1711 |
| NPI Number | 1083827596 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083827596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE8257 (Washington) | Primary |
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