# KATHRYN L JAGOW, DDS

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

## Provider details

- **NPI number:** 1801340187
- **Authorized official:** KATHRYN JAGOW DDS (OWNER)
- **Authorized official phone:** (425) 776-2323

## Contact information

- **Practice address:** 22905 56TH AVE W STE 101, MOUNTLAKE TERRACE, WA 98043-3925
- **Practice address phone:** (425) 776-2323
- **Practice address fax:** (425) 775-3494
- **Mailing address:** 22905 56TH AVE W STE 101, MOUNTLAKE TERRACE, WA 98043-3925
- **Mailing address phone:** (425) 776-2323
- **Mailing address fax:** (425) 775-3494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60363985 | WA | Yes |

## Other

- **Enumeration date:** 08/04/2016
- **Last updated:** 08/04/2016