Individual
FEDORA KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 RUGGS LAKE RD, EVERETT, WA 98208-6743
(818) 744-1473
Mailing address
2108 N PACIFIC ST APT 203, SEATTLE, WA 98103-9169
(206) 802-8265
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60724987
WA
Other
Enumeration date
04/25/2017
Last updated
08/07/2023
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