Community Health Center of Snohomish County

NPI #1114058195 in Lynnwood, Washington

Provider Information

NPI Number: 1114058195
Entity Type: Organization
Organization Name: Community Health Center of Snohomish County
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Primary Specialty: Dentist
Enumeration Date: Mar 8, 2007
Last Updated: Jun 13, 2008

Practice Location

Address: 4111 194TH ST SW
Address 2: SUITE 200
City: Lynnwood
State: Washington
ZIP Code: 98036-4604
Phone: (425) 835-5204

Authorized Official

Name: MR. KENNETH M GREEN
Title: PT ACCOUNT MANAGER
Phone: (425) 789-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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