Organization
FREDERICK J WORRELL DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK JULIAN WORRELL DDS (MEMBER)
(206) 294-9001
Entity
Organization
Contact information
Practice address
3625 148TH ST SW, SUITE# B101, LYNNWOOD, WA 98087-5577
(425) 773-4909
Mailing address
16005 NE 198TH ST, WOODINVILLE, WA 98072-7016
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60238959
WA
Other
Enumeration date
02/15/2015
Last updated
02/15/2015
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