Individual
DR. DARYL I BOEKENOOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS PS
Contact information
Practice address
10217 19TH AVE SE, EVERETT, WA 98208
(425) 357-5813
(425) 337-7244
Mailing address
10217 19TH AVE SE, EVERETT, WA 98208
(425) 357-5813
(425) 337-7244
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
034197
WA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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