Mark Stivers, Dds, Inc., P.s.
NPI #1104396969 in Everett, Washington
Provider Information
- NPI Number
- 1104396969
- Entity Type
- Organization
- Organization Name
- Mark Stivers, Dds, Inc., P.s.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Dec 4, 2018
- Last Updated
- Dec 4, 2018
Practice Location
- Address
- 12728 19TH AVE SE STE 101
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-6526
- Phone
- (425) 224-4661
Authorized Official
- Name
- MARK W STIVERS, DDS
- Title
- OWNER
- Phone
- (425) 239-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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