Organization
10X10 LLC
Active
Other names
The Tooth Ferry
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT REYNOLDS (SECRETARY)
(360) 378-5300
Entity
Organization
Contact information
Practice address
305 BLAIR AVE, FRIDAY HARBOR, WA 98250-8076
(360) 378-5300
Mailing address
305 BLAIR AVE, FRIDAY HARBOR, WA 98250-8076
(360) 378-5300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010627
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5053293
—
WA
Enumeration date
05/17/2016
Last updated
05/17/2016
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