Michael Bacon, DDS

NPI #1285794917 in Everett, Washington

Provider Information

NPI Number: 1285794917
Entity Type: Individual
Name: Michael Bacon, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8933 MARKET PL
Address 2: STE. A
City: Everett
State: Washington
ZIP Code: 98205-4909
Phone: (425) 334-5085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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