Individual
MRS. KATHRYN LYNN JAGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
22905 56TH AVE W, 101, MOUNTLAKE TERRACE, WA 98043-3925
(253) 266-8656
Mailing address
22905 56TH AVE W, 101, MOUNTLAKE TERRACE, WA 98043-3925
(425) 776-2323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DENT.DE.60363985
WA
Other
Enumeration date
07/11/2013
Last updated
06/18/2019
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