Organization
CONSOLIDATED DENTAL TWO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA PETISME DMD (OWNER/ DENTIST)
(425) 753-3622
Entity
Organization
Contact information
Practice address
833 2ND ST STE A, MUKILTEO, WA 98275-1639
(425) 355-8866
Mailing address
833 2ND ST STE A, MUKILTEO, WA 98275-1639
(425) 355-8866
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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