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Organization
PAMELA A NICOARA DDS MSD PLLC
Active
Organization
PAMELA A NICOARA DDS MSD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA ADRIENNE NICOARA DDS MSD PLLC (OWNER/PERIODONTIST)
(425) 374-5380
Entity
Organization
Contact information
Practice address
3125 COLBY AVE, SUITE H, EVERETT, WA 98201-4032
(425) 374-5380
(425) 374-5382
Mailing address
2012 GRAND AVE, EVERETT, WA 98201-2212
(206) 218-7352
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10770
WA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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