| Pacific Northwest Dental | |
|
4367 Rucker Avenue Everett WA 98203 | |
| (425) 339-9999 | |
| Not Available |
| Full Name | Pacific Northwest Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4367 Rucker Avenue, Everett, Washington |
| Authorized Official Name and Position | Rachel Jeanette Mahoney (DENTIST, OWNER) |
| Authorized Official Contact | 4253399999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Northwest Dental 4367 Rucker Avenue Everett WA 98203 Ph: (425) 339-9999 | Pacific Northwest Dental 4367 Rucker Avenue Everett WA 98203 Ph: (425) 339-9999 |
| NPI Number | 1285944991 |
|---|---|
| Provider Enumeration Date | 10/15/2010 |
| Last Update Date | 10/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285944991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60011791 (Washington) | Primary |
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