Organization
DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA JOHNSON (RCM)
(206) 430-2274
Entity
Organization
Contact information
Practice address
7530 164TH AVE NE STE A120, REDMOND, WA 98052-7837
(425) 289-0142
Mailing address
7530 164TH AVE NE STE A120, REDMOND, WA 98052-7837
(425) 289-0142
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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