# PHAM WALTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plaza Pointe Dental Specialists, Mukilteo Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346636263
- **Authorized official:** MATTHEW HERNANDEZ (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (425) 347-4141

## Contact information

- **Practice address:** 12138 MUKILTEO SPEEDWAY STE 301, MUKILTEO, WA 98275-5738
- **Practice address phone:** (425) 347-4141
- **Mailing address:** 12138 MUKILTEO SPEEDWAY STE 301, MUKILTEO, WA 98275-5738
- **Mailing address phone:** (425) 347-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008539 | WA | Yes |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 04/07/2015
- **Last updated:** 10/17/2025