Individual
DR. AMANDA KOEPPEL MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
18323 98TH AVE NE, SUITE 2, BOTHELL, WA 98011-3358
(804) 304-4228
Mailing address
18323 98TH AVE NE, SUITE 2, BOTHELL, WA 98011-3358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60460512
WA
Other
Enumeration date
06/17/2014
Last updated
06/17/2015
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