Individual
DR. MARK KENNETH MCDANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 S 38TH CT STE 225, RENTON, WA 98055-5775
(425) 271-1515
(425) 228-4146
Mailing address
350 S 38TH CT STE 225, RENTON, WA 98055-5775
(425) 271-1515
(425) 228-4146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006052
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00006052
WA STATE DEPT OF HEALTH
WA
05
—
K439D7
—
WA
Enumeration date
11/15/2006
Last updated
07/21/2016
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