Organization
PACIFIC NORTHWEST DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL JEANETTE MAHONEY D.M.D. (DENTIST, OWNER)
(425) 339-9999
Entity
Organization
Contact information
Practice address
4367 RUCKER AVENUE, EVERETT, WA 98203
(425) 339-9999
Mailing address
4367 RUCKER AVENUE, EVERETT, WA 98203
(425) 339-9999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60011791
WA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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