Organization
JILL TETRICK DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL TETRICK DDS (DENTIST/OWNER)
(360) 734-4374
Entity
Organization
Contact information
Practice address
3628 MERIDIAN ST STE 1C, BELLINGHAM, WA 98225-1735
(360) 734-4374
(360) 715-9196
Mailing address
3628 MERIDIAN ST STE 1C, BELLINGHAM, WA 98225-1735
(360) 734-4374
(360) 715-9196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/16/2017
Last updated
03/24/2023
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