| Lakeside Endodontics | |
|
9505 19th Ave Se Ste 115 Everett WA 98208-3843 | |
| (425) 357-8747 | |
| (425) 337-6190 |
| Full Name | Lakeside Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 9505 19th Ave Se Ste 115, Everett, Washington |
| Authorized Official Name and Position | Jamie Kradenpoth (OFFICE MANAGER) |
| Authorized Official Contact | 4253578747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Endodontics 10025 19th Ave Se Suite 202 Everett WA 98208-4275 Ph: (425) 357-8747 | Lakeside Endodontics 9505 19th Ave Se Ste 115 Everett WA 98208-3843 Ph: (425) 357-8747 |
| NPI Number | 1104056910 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104056910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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