Organization
COLLEGE PLACE ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN J XU DDS MS (MEMBER)
(425) 670-2033
Entity
Organization
Contact information
Practice address
19720 68TH AVE W, SUITE E, LYNNWOOD, WA 98036
(425) 670-2033
(425) 670-2303
Mailing address
19720 68TH AVE W, SUITE E, LYNNWOOD, WA 98036
(425) 670-2033
(425) 670-2303
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00008527
WA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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