Organization
EVERETT DENTURE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHESLIK (OWNER)
(425) 259-2800
Entity
Organization
Contact information
Practice address
4367 RUCKER AVE, EVERETT, WA 98203-2213
(425) 259-2800
(425) 259-2800
Mailing address
4367 RUCKER AVE, EVERETT, WA 98203-2213
(425) 259-2800
(425) 259-2800
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5049812
—
WA
Enumeration date
04/21/2010
Last updated
04/21/2010
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