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9800 Harbour Place Suite 203 Mukilteo WA 98275-4749 | |
| (425) 493-8111 | |
| (425) 493-1996 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9800 Harbour Place, Mukilteo, Washington |
| Authorized Official Name and Position | Kathryn T Onishi (OWNER) |
| Authorized Official Contact | 4254938111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9800 Harbour Place Suite 203 Mukilteo WA 98275-4749 Ph: (425) 493-8111 | 9800 Harbour Place Suite 203 Mukilteo WA 98275-4749 Ph: (425) 493-8111 |
| NPI Number | 1457567497 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457567497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | G06493 (Washington) | Primary |
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