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Organization

LAKESIDE ENDODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAHIN ETEMADI D.D.S., M.S.D. (PRESIDENT)
(425) 357-8747
Entity
Organization

Contact information

Practice address
10025 19TH AVE SE STE 202, EVERETT, WA 98208-4275
(425) 357-8747
(425) 337-6190
Mailing address
10025 19TH AVE SE STE 202, EVERETT, WA 98208-4275
(425) 357-8747
(425) 337-6190

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
07/15/2009
Last updated
04/14/2026
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