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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