Organization
PUGET SOUND DENTAL PROFESSIONALS PLLC
Active
Other names
Everett Dental Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KNIGHT (CREDENTIALING MANAGER)
(360) 659-8100
Entity
Organization
Contact information
Practice address
3224 COLBY AVE STE A, EVERETT, WA 98201-4383
(425) 259-3505
Mailing address
3224 COLBY AVE STE A, EVERETT, WA 98201-4383
(425) 259-3505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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