| Pacific Childrens Dentistry | |
|
916 Pacific Ave Everett WA 98201-4147 | |
| (206) 355-1596 | |
| Not Available |
| Full Name | Pacific Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 916 Pacific Ave, Everett, Washington |
| Authorized Official Name and Position | Tarja Kaakko (PRESIDENT) |
| Authorized Official Contact | 2063551596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Childrens Dentistry 700 Nw Gilman Blvd E-103, #493 Issaquah WA 98027-5395 Ph: () - | Pacific Childrens Dentistry 916 Pacific Ave Everett WA 98201-4147 Ph: (206) 355-1596 |
| NPI Number | 1407126873 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407126873 | NPI | - | NPPES |
| 1306911383 | Other | WA | PERSONAL NPI 1306911383 |
| 5056239 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9397 (Washington) | Primary |
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