Individual
ELIAS KATSIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9710 STATE AVE, MARYSVILLE, WA 98270-2232
(360) 653-1742
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0112
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010796
WA
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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