Organization
DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA JOHNSON (RCM)
(206) 430-2274
Entity
Organization
Contact information
Practice address
2737 77TH AVE SE STE 212, MERCER ISLAND, WA 98040-2832
(206) 232-0683
Mailing address
2737 77TH AVE SE STE 212, MERCER ISLAND, WA 98040-2832
(206) 232-0683
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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