Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Everett Dental, Sea-Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (EXECUTIVE DIRECTOR)
(206) 788-3226
Entity
Organization
Contact information
Practice address
1920 100TH ST SE STE C2, EVERETT, WA 98208-3832
(425) 249-0770
(425) 249-0771
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054913
—
WA
Enumeration date
02/05/2016
Last updated
01/31/2025
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