Individual
MADELEINE R EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5952 BLACKSTONE WAY STE 100, NINE MILE FALLS, WA 99026-4900
(509) 935-6004
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61567229
WA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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