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Individual

DR. ALBERT F EVERETT, III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12911 120TH AVE NE, #F-200, KIRKLAND, WA 98034-3027
(425) 821-9111
(425) 820-2950
Mailing address
12911 120TH AVE NE, #F-200, KIRKLAND, WA 98034-3027
(425) 821-9111
(425) 820-2950

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4922
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5513908
WA
01
569122
UNITED CONCORDIA ID#
WA
Enumeration date
07/06/2006
Last updated
07/08/2007
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