Organization
GATEWAY FAMILY DENTISTRY AT MILL CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ALLEN FLAKE DDS (OWNER/ SOLE PROPRIETOR)
(425) 338-2966
Entity
Organization
Contact information
Practice address
13416 BOTHELL EVERETT HWY, SUITE 207, MILL CREEK, WA 98012-5311
(425) 338-2966
Mailing address
13416 BOTHELL EVERETT HWY, SUITE 207, MILL CREEK, WA 98012-5311
(425) 338-2966
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6701
WA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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