Individual
MADELINE MARGARET HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 789-2000
Mailing address
1424 BROADWAY, EVERETT, WA 98201-1720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61324639
WA
122300000X
Dentist
DR61162105
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2021
Last updated
07/20/2022
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