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13322 Highway 99 Suite 202 Everett WA 98204-5440 | |
(425) 743-3911 | |
(425) 743-2788 |
Full Name | |
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Speciality | Dentist |
Location | 13322 Highway 99, Everett, Washington |
Authorized Official Name and Position | Stacy Lin (VICE-PRESIDENT) |
Authorized Official Contact | 4257433911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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13322 Highway 99 Suite 202 Everett WA 98204-5440 Ph: (425) 743-3911 | 13322 Highway 99 Suite 202 Everett WA 98204-5440 Ph: (425) 743-3911 |
NPI Number | 1740366319 |
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Provider Enumeration Date | 10/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1740366319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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