Gateway Family Dentistry At Mill Creek

NPI 1275785719 - Clinic/Center - 261QD0000X

NPI Details
NPI 1275785719
Enumeration Date 10/15/2008
Last Updated 10/15/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROGER ALLEN ROGER
Position OWNER/ SOLE PROPRIETOR
Phone (425) 338-2966
Fax
Practice Location
13416 BOTHELL EVERETT HWY
SUITE 207
MILL CREEK WA, 98012-5311, US
Phone (425) 338-2966
Fax
Business Location
13416 BOTHELL EVERETT HWY
SUITE 207
MILL CREEK WA, 98012-5311, US
Phone (425) 338-2966
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Washington
License Number 6701
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According to our database, Gateway Family Dentistry At Mill Creek NPI is 1275785719, taxonomy code is 261QD0000X and license number is 6701, license state is located at Washington. Gateway Family Dentistry At Mill Creek physically located at 13416 Bothell Everett Hwy, Mill Creek WA, 98012-5311. NPI Number 1033115704 has the healthcare provider type.

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1275785719 NPI number is provided on an as is basis without warranty of any kind. 1275785719 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway Family Dentistry At Mill Creek are for informational purposes only.