Organization
MELLISSA ILGEN, DDS, PLLC
Active
Other names
APPLETREE COVE DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELLISSA ILGEN DDS (DENTIST)
(206) 900-1417
Entity
Organization
Contact information
Practice address
26114 ILLINOIS AVE NE, KINGSTON, WA 98346-7674
(360) 297-3392
Mailing address
PO BOX 149, KINGSTON, WA 98346-0149
(360) 297-3392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/10/2020
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