# CHLOE MIRICK DDS PLLC

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

## Provider details

- **NPI number:** 1871214239
- **Authorized official:** DR. CHLOE MARIE MIRICK DDS (OWNER)
- **Authorized official phone:** (206) 200-7337

## Contact information

- **Practice address:** 31213 3RD AVE STE TBD, BLACK DIAMOND, WA 98010-9718
- **Practice address phone:** (206) 200-7337
- **Mailing address:** 31231 3RD AVE STE 100, BLACK DIAMOND, WA 98010-9802
- **Mailing address phone:** (360) 851-1288
- **Mailing address fax:** (360) 851-1289

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2022
- **Last updated:** 03/18/2026