Lakeside Endodontics
NPI #1104056910 in Everett, Washington
Provider Information
- NPI Number
- 1104056910
- Entity Type
- Organization
- Organization Name
- Lakeside Endodontics
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Jul 15, 2009
- Last Updated
- Dec 17, 2012
Practice Location
- Address
- 9505 19TH AVE SE STE 115
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-3843
- Phone
- (425) 357-8747
Authorized Official
- Name
- MS. JAMIE KRADENPOTH
- Title
- OFFICE MANAGER
- Phone
- (425) 357-8747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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