Organization
MARK STIVERS, DDS, INC., P.S.
Active
Organization
MARK STIVERS, DDS, INC., P.S.
Active
Other names
Silver Creek Oral Surgery and Puget Sound Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W STIVERS DDS (OWNER)
(425) 239-5600
Entity
Organization
Contact information
Practice address
12728 19TH AVE SE STE 101, EVERETT, WA 98208-6526
(425) 224-4661
(425) 224-4689
Mailing address
12728 19TH AVE SE STE 101, EVERETT, WA 98208-6526
(425) 224-4661
(425) 224-4689
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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