| Puget Sound Pediatric Dentistry | |
|
14090 Fryelands Blvd Se Ste 348 Monroe WA 98272-2760 | |
| (360) 863-8700 | |
| (360) 822-7184 |
| Full Name | Puget Sound Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14090 Fryelands Blvd Se Ste 348, Monroe, Washington |
| Authorized Official Name and Position | Jessica R Knight (ACCOUNT RECEIVABLE MANAGER) |
| Authorized Official Contact | 3608638700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puget Sound Pediatric Dentistry 14090 Fryelands Blvd Se Ste 348 Monroe WA 98272-2760 Ph: (360) 863-8700 | Puget Sound Pediatric Dentistry 14090 Fryelands Blvd Se Ste 348 Monroe WA 98272-2760 Ph: (360) 863-8700 |
| NPI Number | 1679898902 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679898902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00009918 (Washington) | Primary |
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