Individual
JUSTIN M PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
21807 76TH AVE W, EDMONDS, WA 98026-7938
(425) 775-3564
Mailing address
21807 76TH AVE W, EDMONDS, WA 98026-7938
(425) 775-3564
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00010404
WA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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