Organization
RAYMOND BOGAERT MDM PHD PLLC
Active
Other names
ALDERWOOD ENDODONTIC ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BOGAERT DMD PHD (OWNER)
(425) 771-4427
Entity
Organization
Contact information
Practice address
19108 33RD AVE W STE A, LYNNWOOD, WA 98036-4728
(425) 771-4427
Mailing address
19108 33RD AVE W STE A, LYNNWOOD, WA 98036-4728
(425) 771-4427
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6914
WA
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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