Individual
JOSHUA ARCHER MANCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5630 NE 198TH PL, KENMORE, WA 98028-3113
(406) 599-4642
Mailing address
11056 SE 201ST PLACE, KENT, WA 98031
(406) 599-4642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60579609
WA
Other
Enumeration date
05/01/2013
Last updated
09/22/2017
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