Organization
MAURINE MACHUGH DDS, PLLC
Active
Other names
EvergreenPeriodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MAURINE MACHUGH DDS (DENTIST/OWNER)
(425) 820-2414
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE, STE F240, KIRKLAND, WA 98034-3027
(425) 820-2414
(425) 814-1757
Mailing address
12911 120TH AVE NE, STE F240, KIRKLAND, WA 98034-3027
(425) 820-2414
(425) 814-1757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5017
WA
Other
Enumeration date
01/04/2006
Last updated
01/27/2010
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