Organization
PREMIER PERIODONTICS PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILL S FERNYHOUGH DDS,MSD (DOCTOR)
(425) 455-2020
Entity
Organization
Contact information
Practice address
10050 NE 10TH ST SUITE C, BELLEVUE, WA 98004
(425) 455-2020
(425) 455-0310
Mailing address
10050 NE 10TH ST SUITE C, BELLEVUE, WA 98004
(425) 455-2020
(425) 455-0310
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
01/03/2013
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