Organization
KATHRYN L JAGOW, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN JAGOW DDS (OWNER)
(425) 776-2323
Entity
Organization
Contact information
Practice address
22905 56TH AVE W STE 101, MOUNTLAKE TERRACE, WA 98043-3925
(425) 776-2323
(425) 775-3494
Mailing address
22905 56TH AVE W STE 101, MOUNTLAKE TERRACE, WA 98043-3925
(425) 776-2323
(425) 775-3494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60363985
WA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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