Philip J Etheredge DDS

NPI 1093813800 - Dentist - 1223G0001X

NPI Details
NPI 1093813800
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
13118 121ST WAY NE
SUITE 102
KIRKLAND WA, 98034, US
Phone (425) 822-0505
Fax (425) 825-5661
Business Location
13118 121ST WAY NE
SUITE 102
KIRKLAND WA, 98034, US
Phone (425) 822-0505
Fax (425) 825-5661
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number 6091
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According to our database, Dr. Philip J Etheredge DDS NPI is 1093813800, taxonomy code is 1223G0001X and license number is 6091, license state is located at Washington. Philip J Etheredge DDS physically located at 13118 121st Way Ne, Kirkland WA, 98034. NPI Number Philip J Etheredge DDS has the Individual type.

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1093813800 NPI number is provided on an as is basis without warranty of any kind. 1093813800 is maintained by the National Plan & Provider Enumeration System. The contents of Philip J Etheredge DDS are for informational purposes only.