Individual
DR. JEFFREY D. HULEATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20210 77TH AVE NE, ARLINGTON, WA 98223-4602
(360) 435-2151
(360) 435-7845
Mailing address
20210 77TH AVE NE, P O BOX 98, ARLINGTON, WA 98223-0098
(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 LICENSE ID
WA
Enumeration date
08/10/2006
Last updated
07/08/2007
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