Organization
COSMETIC & FAMILY DENTISTRY OF MILL CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANETTE F MEADE OFFICE MANAGER (OFFICE MANAGER)
(425) 742-3606
Entity
Organization
Contact information
Practice address
16504 9TH AVE SE STE 103, MILL CREEK, WA 98012-6388
(425) 742-3606
(425) 743-4476
Mailing address
16504 9TH AVE SE STE 103, MILL CREEK, WA 98012-6388
(425) 742-3606
(425) 743-4476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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