Puget Park Dental

NPI #1780138917 in Everett, Washington

Provider Information

NPI Number: 1780138917
Entity Type: Organization
Organization Name: Puget Park Dental
Primary Specialty: Dentist
Enumeration Date: Aug 4, 2016
Last Updated: Aug 4, 2016

Practice Location

Address: 520 128TH ST SW
Address 2: A 12
City: Everett
State: Washington
ZIP Code: 98204-9362
Phone: (425) 290-5926

Authorized Official

Name: DR. SHIVANI SHIKKA KANT, DDS
Title: DENTIST
Phone: (425) 290-5926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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