Organization
EAGLE FAMILY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D. HULEATT D.D.S. (DOCTOR/OWNER)
(360) 435-2151
Entity
Organization
Contact information
Practice address
20210 77TH AVE NE, ARLINGTON, WA 98223-4602
(360) 435-2151
(360) 435-7845
Mailing address
20210 77TH AVE NE, ARLINGTON, WA 98223-4602
(360) 435-2151
(360) 435-7845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00006048
STATE OF WASHINGTON LICEN
WV
01
—
DE00007379
STATE OF WASH LICENSE
WA
Enumeration date
08/09/2006
Last updated
08/22/2020
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