| |
10814 19th Ave Se Everett WA 98208-5153 | |
(425) 337-4734 | |
Not Available |
Full Name | |
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Speciality | Dentist - Periodontics |
Location | 10814 19th Ave Se, Everett, Washington |
Authorized Official Name and Position | Graig Erickson (PERIODONTIST) |
Authorized Official Contact | 4253374734 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10814 19th Ave Se Everett WA 98208-5153 Ph: () - | 10814 19th Ave Se Everett WA 98208-5153 Ph: (425) 337-4734 |
NPI Number | 1649674706 |
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Provider Enumeration Date | 10/18/2014 |
Last Update Date | 10/18/2014 |
Identifier | Type | State | Issuer |
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1649674706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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