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11802 Evergreen Way Suite 104 Everett WA 98204-4620 | |
| (425) 405-7301 | |
| (425) 405-7298 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11802 Evergreen Way, Everett, Washington |
| Authorized Official Name and Position | William Brett Webley (DOCTOR/ DENTIST) |
| Authorized Official Contact | 4254057301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11802 Evergreen Way Suite 104 Everett WA 98204-4620 Ph: (425) 405-7301 | 11802 Evergreen Way Suite 104 Everett WA 98204-4620 Ph: (425) 405-7301 |
| NPI Number | 1003286477 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003286477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 603375180 (Washington) | Primary |
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