# RAYMOND BOGAERT MDM PHD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALDERWOOD ENDODONTIC ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477646453
- **Authorized official:** RAYMOND BOGAERT DMD PHD (OWNER)
- **Authorized official phone:** (425) 771-4427

## Contact information

- **Practice address:** 19108 33RD AVE W STE A, LYNNWOOD, WA 98036-4728
- **Practice address phone:** (425) 771-4427
- **Mailing address:** 19108 33RD AVE W STE A, LYNNWOOD, WA 98036-4728
- **Mailing address phone:** (425) 771-4427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 6914 | WA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020
