Organization
DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Active
Other names
Pine Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MCCONKEY (RDO)
(772) 559-5343
Entity
Organization
Contact information
Practice address
2908 228TH AVE SE, SAMMAMISH, WA 98075-9306
(425) 391-9414
Mailing address
2908 228TH AVE SE, SAMMAMISH, WA 98075-9306
(425) 391-9414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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