Kcpp Community Outreach
NPI #1770130890 in Everett, Washington
Provider Information
- NPI Number
- 1770130890
- Entity Type
- Organization
- Organization Name
- Kcpp Community Outreach
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 22, 2019
- Last Updated
- Aug 22, 2019
Practice Location
- Address
- 10121 EVERGREEN WAY STE 25-244
- City
- Everett
- State
- Washington
- ZIP Code
- 98204-3885
- Phone
- (509) 696-6373
Authorized Official
- Name
- DAVID K CHO, DDS
- Title
- DIRECTOR
- Phone
- (253) 306-6645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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