Organization
NORTH CREEK DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ANDREW KOONTZ DDS (OWNER)
(425) 338-0666
Entity
Organization
Contact information
Practice address
12806 3RD AVE SE, EVERETT, WA 98208-6455
(425) 338-0666
(425) 337-6570
Mailing address
12806 3RD AVE SE, EVERETT, WA 98208-6455
(425) 338-0666
(425) 337-6570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6865
WA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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