Individual
SNEHA PREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12502 MUKILTEO SPEEDWAY STE 108, MUKILTEO, WA 98275-5730
(425) 374-1136
Mailing address
4 MELODY LN, LYNNFIELD, MA 01940-1263
(617) 359-2550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61331397
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2022
Last updated
08/29/2022
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