| Canyon Creek Family & Implant Dentistry | |
|
4809 132nd St Se Ste A105 Everett WA 98208-6241 | |
| (425) 585-0805 | |
| Not Available |
| Full Name | Canyon Creek Family & Implant Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4809 132nd St Se Ste A105, Everett, Washington |
| Authorized Official Name and Position | Kevin La (OWNER) |
| Authorized Official Contact | 2134487706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Creek Family & Implant Dentistry 17321 40th Ave Se Bothell WA 98012-5065 Ph: () - | Canyon Creek Family & Implant Dentistry 4809 132nd St Se Ste A105 Everett WA 98208-6241 Ph: (425) 585-0805 |
| NPI Number | 1063922938 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 10/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063922938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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