| Mark Stivers, Dds, Inc., P.s. | |
|
12728 19th Ave Se Ste 101 Everett WA 98208-6526 | |
| (425) 224-4661 | |
| (425) 224-4689 |
| Full Name | Mark Stivers, Dds, Inc., P.s. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12728 19th Ave Se Ste 101, Everett, Washington |
| Authorized Official Name and Position | Mark W Stivers (OWNER) |
| Authorized Official Contact | 4252395600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Stivers, Dds, Inc., P.s. 12728 19th Ave Se Ste 101 Everett WA 98208-6526 Ph: (425) 224-4661 | Mark Stivers, Dds, Inc., P.s. 12728 19th Ave Se Ste 101 Everett WA 98208-6526 Ph: (425) 224-4661 |
| NPI Number | 1104396969 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104396969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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