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520 128th St Sw A 12 Everett WA 98204-9362 | |
(425) 290-5926 | |
(425) 347-5229 |
Full Name | |
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Speciality | Dentist |
Location | 520 128th St Sw, Everett, Washington |
Authorized Official Name and Position | Shivani Shikka Kant (DENTIST) |
Authorized Official Contact | 4252905926 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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520 128th St Sw A 12 Everett WA 98204-9362 Ph: (425) 290-5926 | 520 128th St Sw A 12 Everett WA 98204-9362 Ph: (425) 290-5926 |
NPI Number | 1780138917 |
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Provider Enumeration Date | 08/04/2016 |
Last Update Date | 08/04/2016 |
Identifier | Type | State | Issuer |
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1780138917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 60223508 (Washington) | Primary |
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