Organization
FEDORA KATZ DDS MSD PLLC
Active
Other names
Silverlake Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GEDALIA (MANAGER)
(818) 744-1473
Entity
Organization
Contact information
Practice address
10627 19TH AVE SE STE A, EVERETT, WA 98208-5147
(818) 744-1473
Mailing address
10627 19TH AVE SE STE A, EVERETT, WA 98208-5147
(818) 744-1473
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720513096
NPPES
WA
Enumeration date
08/07/2023
Last updated
10/01/2024
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