Organization
FAMILY GROUP DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YURIY BAGDASAROV (OWNER)
(425) 355-0600
Entity
Organization
Contact information
Practice address
909 SE EVERETT MALL WAY, B-250, EVERETT, WA 98208
(425) 355-0600
Mailing address
909 SE EVERETT MALL WAY, B-250, EVERETT, WA 98208
(425) 355-0600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00008641
WA
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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