Organization
KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC
Active
Other names
Stanwood Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHANN M TI DDS (PARTNER)
(360) 629-1776
Entity
Organization
Contact information
Practice address
9612 270TH ST NW, 7C, STANWOOD, WA 98292
(360) 629-1776
(360) 629-0541
Mailing address
9612 270TH ST NW, 7C, STANWOOD, WA 98292
(360) 629-1776
(360) 629-0541
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
6284
WA
261QD0000X
Dental Clinic/Center
7741
WA
261QD0000X
Dental Clinic/Center
Primary
8211
WA
261QD0000X
Dental Clinic/Center
9599
WA
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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