# FREDERICK J WORRELL DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558752352
- **Authorized official:** DR. FREDERICK JULIAN WORRELL DDS (MEMBER)
- **Authorized official phone:** (206) 294-9001

## Contact information

- **Practice address:** 3625 148TH ST SW, SUITE\# B101, LYNNWOOD, WA 98087-5577
- **Practice address phone:** (425) 773-4909
- **Mailing address:** 16005 NE 198TH ST, WOODINVILLE, WA 98072-7016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60238959 | WA | Yes |

## Other

- **Enumeration date:** 02/15/2015
- **Last updated:** 02/15/2015