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Organization
GATEWAY FAMILY DENTISTRY AT MILL CREEK
Active
Organization
GATEWAY FAMILY DENTISTRY AT MILL CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ALLEN FLAKE DDS (OWNER/ SOLE PROPRIETOR)
(425) 338-2966
Entity
Organization
Contact information
Practice address
13416 BOTHELL EVERETT HWY, SUITE 207, MILL CREEK, WA 98012-5311
(425) 338-2966
Mailing address
13416 BOTHELL EVERETT HWY, SUITE 207, MILL CREEK, WA 98012-5311
(425) 338-2966
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6701
WA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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