Organization
JED V. SANTIAGO, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JED VAL SANTIAGO D.D.S. (OWNER)
(425) 712-0800
Entity
Organization
Contact information
Practice address
18505 ALDERWOOD MALL PKWY, SUITE D, LYNNWOOD, WA 98037-8012
(425) 712-0800
(425) 670-1125
Mailing address
18505 ALDERWOOD MALL PKWY, SUITE D, LYNNWOOD, WA 98037-8012
(425) 712-0800
(425) 670-1125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009386
WA
Other
Enumeration date
04/17/2007
Last updated
07/22/2008
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