EVERETT MALL WAY DENTAL GROUP

NPI: 1699917302 · Organization · Active

Primary Specialty

Dentist

Practice Location

20 SW EVERETT MALL WAY
SUITE 1
EVERETT, WA 98204-2700 Map ↗
Phone: 425-353-6254
Fax: 425-353-6271

All Specialties & Licenses

  • Dentist Primary (license: D00007661, WA)

NPI Registration

Enumerated: 2009-03-26

Last CMS Update: 2009-03-26