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4225 Hoyt Ave Suite B Everett WA 98203-2351 | |
| (425) 252-6666 | |
| (888) 456-0249 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4225 Hoyt Ave, Everett, Washington |
| Authorized Official Name and Position | Joy A Rivero (SOLE OWNER) |
| Authorized Official Contact | 4252526666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4225 Hoyt Ave Suite B Everett WA 98203-2351 Ph: (425) 252-6666 | 4225 Hoyt Ave Suite B Everett WA 98203-2351 Ph: (425) 252-6666 |
| NPI Number | 1194967661 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194967661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DE00010923 (Washington) | Primary |
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