Quil Ceda Family Dental

NPI #1831404466 in Tulalip, Washington

Provider Information

NPI Number: 1831404466
Entity Type: Organization
Organization Name: Quil Ceda Family Dental
Primary Specialty: Dentist
Enumeration Date: Aug 6, 2010
Last Updated: Aug 6, 2010

Practice Location

Address: 8825 34TH AVE NE STE M
City: Tulalip
State: Washington
ZIP Code: 98271-8085
Phone: (360) 659-1149

Authorized Official

Name: DR. RONALD A. SEBASTIAN, DDS
Title: DENTIST
Phone: (360) 659-1149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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