Individual
MICHAEL BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8933 MARKET PL, STE. A, EVERETT, WA 98205-4909
(425) 334-5085
(425) 335-0921
Mailing address
8933 MARKET PL., STE. A, EVERETT, WA 98205
(425) 334-5085
(425) 335-0921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004046
WA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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