| Kcpp Community Outreach | |
|
10121 Evergreen Way Ste 25-244 Everett WA 98204-3885 | |
| (509) 696-6373 | |
| Not Available |
| Full Name | Kcpp Community Outreach |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10121 Evergreen Way Ste 25-244, Everett, Washington |
| Authorized Official Name and Position | David K Cho (DIRECTOR) |
| Authorized Official Contact | 2533066645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kcpp Community Outreach 10121 Evergreen Way Ste 25-244 Everett WA 98204-3885 Ph: (509) 696-6373 | Kcpp Community Outreach 10121 Evergreen Way Ste 25-244 Everett WA 98204-3885 Ph: (509) 696-6373 |
| NPI Number | 1770130890 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770130890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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