| Kathryn L Jagow, Dds | |
|
22905 56th Ave W Ste 101 Mountlake Terrace WA 98043-3925 | |
| (425) 776-2323 | |
| (425) 775-3494 |
| Full Name | Kathryn L Jagow, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22905 56th Ave W Ste 101, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Kathryn Jagow (OWNER) |
| Authorized Official Contact | 4257762323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn L Jagow, Dds 22905 56th Ave W Ste 101 Mountlake Terrace WA 98043-3925 Ph: (425) 776-2323 | Kathryn L Jagow, Dds 22905 56th Ave W Ste 101 Mountlake Terrace WA 98043-3925 Ph: (425) 776-2323 |
| NPI Number | 1801340187 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 08/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801340187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60363985 (Washington) | Primary |
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