# JADE W. GAN, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genuine Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821605940
- **Authorized official:** JADE GAN DDS (DENTIST)
- **Authorized official phone:** (425) 802-7883

## Contact information

- **Practice address:** 12902 BOTHELL EVERETT HWY STE E, EVERETT, WA 98208-6635
- **Practice address phone:** (425) 367-0303
- **Practice address fax:** (425) 367-0313
- **Mailing address:** 12902 BOTHELL EVERETT HWY STE E, EVERETT, WA 98208-6635
- **Mailing address phone:** (425) 367-0303
- **Mailing address fax:** (425) 367-0313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 09/24/2020