Organization
MITTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIFALI GARG (MEMBER)
(206) 747-4030
Entity
Organization
Contact information
Practice address
10025 19TH AVE SE, EVERETT, WA 98208-4275
(206) 747-4030
Mailing address
20103 136TH AVE NE, WOODINVILLE, WA 98072-8776
(206) 747-4030
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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