Mountlake Family Dentistry
NPI #1164042040 in Mountlake Terrace, Washington
Provider Information
- NPI Number
- 1164042040
- Entity Type
- Organization
- Organization Name
- Mountlake Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 21, 2020
- Last Updated
- Apr 21, 2020
Practice Location
- Address
- 22725 44TH AVE W STE 100
- State
- Washington
- ZIP Code
- 98043-4583
- Phone
- (425) 412-3955
Authorized Official
- Name
- ALYSHA MAES
- Title
- OFFICE MANAGER
- Phone
- (425) 412-3955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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