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Organization
PAUL R. YETTER DDS, PLLC
Active
Organization
PAUL R. YETTER DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL YETTER DDS (OWNER)
(425) 347-5040
Entity
Organization
Contact information
Practice address
8227 44TH AVE W, STE A, MUKILTEO, WA 98275-2815
(425) 347-5040
Mailing address
8227 44TH AVE W STE A, MUKILTEO, WA 98275-2848
(425) 347-5040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
126800000X
Dental Assistant
—
NULL
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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