| New Life Dental Arts | |
|
9633 Market Pl Suite 202 Lake Stevens WA 98258-7944 | |
| (425) 397-8888 | |
| Not Available |
| Full Name | New Life Dental Arts |
|---|---|
| Speciality | Dentist |
| Location | 9633 Market Pl, Lake Stevens, Washington |
| Authorized Official Name and Position | Amy H. Moslander-thompson (OWNER) |
| Authorized Official Contact | 4253978888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Dental Arts 9633 Market Pl Suite 202 Lake Stevens WA 98258-7944 Ph: (425) 397-8888 | New Life Dental Arts 9633 Market Pl Suite 202 Lake Stevens WA 98258-7944 Ph: (425) 397-8888 |
| NPI Number | 1124325956 |
|---|---|
| Provider Enumeration Date | 02/14/2011 |
| Last Update Date | 02/14/2011 |
| Medicare PECOS PAC ID | 9032390984 |
|---|---|
| Medicare Enrollment ID | O20110818000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124325956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE0010000 (Washington) | Primary |
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