Washington Dental Corporation PC
NPI #1811490550 in Lake Stevens, Washington
Provider Information
- NPI Number
- 1811490550
- Entity Type
- Organization
- Organization Name
- Washington Dental Corporation PC
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 8, 2018
- Last Updated
- Mar 8, 2018
Practice Location
- Address
- 907 FRONTIER CIRCLE E
- Address 2
- SUITE 110
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258
- Phone
- (425) 697-9219
Authorized Official
- Name
- DULCE GOMEZ
- Title
- CREDENTIALING COORDINATOR
- Phone
- (714) 845-8701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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