Organization
PHAM WALTER PLLC
Active
Other names
Plaza Pointe Dental Specialists, Mukilteo Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HERNANDEZ (DIRECTOR OF OPERATIONS)
(425) 347-4141
Entity
Organization
Contact information
Practice address
12138 MUKILTEO SPEEDWAY STE 301, MUKILTEO, WA 98275-5738
(425) 347-4141
Mailing address
12138 MUKILTEO SPEEDWAY STE 301, MUKILTEO, WA 98275-5738
(425) 347-4141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008539
WA
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/07/2015
Last updated
10/17/2025
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