Individual
DR. PHILIP J ETHEREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13118 121ST WAY NE, SUITE 102, KIRKLAND, WA 98034
(425) 822-0505
(425) 825-5661
Mailing address
13118 121ST WAY NE, SUITE 102, KIRKLAND, WA 98034
(425) 822-0505
(425) 825-5661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6091
WA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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