Organization
EVERETT MALL WAY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS F HELBERT DDS (OWNER)
(425) 353-6254
Entity
Organization
Contact information
Practice address
20 SW EVERETT MALL WAY, SUITE 1, EVERETT, WA 98204-2700
(425) 353-6254
(425) 353-6271
Mailing address
20 SW EVERETT MALL WAY, SUITE 1, EVERETT, WA 98204-2700
(425) 353-6254
(425) 353-6271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D00007661
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5058326
—
WA
Enumeration date
03/26/2009
Last updated
03/26/2009
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