| Innovative Endodontic Solutions | |
|
26504 Ne Valley Street Duvall WA 98019 | |
| (425) 788-9575 | |
| (425) 788-9577 |
| Full Name | Innovative Endodontic Solutions |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 26504 Ne Valley Street, Duvall, Washington |
| Authorized Official Name and Position | Cynthia Rebecca Tyler (ENDODONTIST) |
| Authorized Official Contact | 2069308789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Endodontic Solutions Po Box 1180 Duvall WA 98019-1180 Ph: (425) 788-9575 | Innovative Endodontic Solutions 26504 Ne Valley Street Duvall WA 98019 Ph: (425) 788-9575 |
| NPI Number | 1376918342 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376918342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DE60566900 (Washington) | Primary |
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