Organization
MARYSVILLE KIDS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMELIA CHIM DDS (PEDIATRIC DENTIST)
(206) 383-9338
Entity
Organization
Contact information
Practice address
505 CEDAR AVE STE C3, MARYSVILLE, WA 98270-4561
(206) 383-9338
Mailing address
505 CEDAR AVE STE C3, MARYSVILLE, WA 98270-4561
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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