# SILVER LAKE FAMILY DENTAL CLINIC, PLLC

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

## Provider details

- **NPI number:** 1770758500
- **Authorized official:** DR. MICHAEL PAUL MEIERS D.D.S. (DENTIST)
- **Authorized official phone:** (425) 337-2400

## Contact information

- **Practice address:** 1820 100TH PL SE, EVERETT, WA 98208-3867
- **Practice address phone:** (425) 337-2400
- **Practice address fax:** (425) 337-1916
- **Mailing address:** 1820 100TH PL SE, EVERETT, WA 98208-3867
- **Mailing address phone:** (425) 337-2400
- **Mailing address fax:** (425) 337-1916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00004953 | WA | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008