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Individual

DR. DWIGHT EDWARD COTTRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
16504 9TH AVE SE, SUITE 103, MILL CREEK, WA 98012-6396
(425) 742-3606
Mailing address
10238 NE 197TH ST, BOTHELL, WA 98011-2452
(425) 483-6839

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006088
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO6355
REGENCE
WA
Enumeration date
07/05/2006
Last updated
07/08/2007
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