| Granatosky Pllc | |
|
4001 Colby Ave Ste 1 Everett WA 98201-4991 | |
| (425) 252-8919 | |
| Not Available |
| Full Name | Granatosky Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4001 Colby Ave Ste 1, Everett, Washington |
| Authorized Official Name and Position | Constantine Granatosky (DENTIST) |
| Authorized Official Contact | 3214311305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granatosky Pllc 4001 Colby Ave Ste 1 Everett WA 98201-4991 Ph: (425) 252-8919 | Granatosky Pllc 4001 Colby Ave Ste 1 Everett WA 98201-4991 Ph: (425) 252-8919 |
| NPI Number | 1114768611 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114768611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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