Individual
DR. SCOTT BRADLEY CHELGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
560 QUILEUTE HEIGHTS, LAPUSH, WA 98350
(360) 374-8659
Mailing address
433 12TH PL N, EDMONDS, WA 98020-2970
(425) 774-8998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006038
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7084486
—
WA
Enumeration date
05/11/2007
Last updated
07/09/2007
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