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Organization
EDMONDS BAY DENTAL
Active
Organization
EDMONDS BAY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES V MISCHEL DDS (OWNER)
(425) 775-5162
Entity
Organization
Contact information
Practice address
51 W DAYTON, SUITE 301, EDMONDS, WA 98020
(425) 775-5162
(425) 491-8100
Mailing address
51 W DAYTON, SUITE 301, EDMONDS, WA 98020
(425) 775-5162
(425) 491-8100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00005091
WA
122300000X
Dentist
DE0010360
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5049457
—
WA
Enumeration date
03/14/2006
Last updated
08/22/2020
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