# EVERETT EMERGENCY DENTAL CARE, USA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emergency Dental Care, USA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982900130
- **Authorized official:** MR. MICHAEL OBENG DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (402) 597-1186

## Contact information

- **Practice address:** 1338 N 143RD AVENUE CIR, OMAHA, NE 68154-5108
- **Practice address phone:** (402) 597-1186
- **Practice address fax:** (402) 393-2886
- **Mailing address:** 10305 19TH AVE SE, SUITE B, EVERETT, WA 98208-4218
- **Mailing address phone:** (425) 357-0911
- **Mailing address fax:** (425) 357-0330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60065986 | WA | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 02/07/2011
