Organization
KEVIN LA, PLLC
Active
Other names
Canyon Creek Family & Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LA DDS (OWNER)
(213) 448-7706
Entity
Organization
Contact information
Practice address
4809 132ND ST SE STE A105, EVERETT, WA 98208-6241
(425) 585-0805
Mailing address
17321 40TH AVE SE, BOTHELL, WA 98012-5065
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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