| Eagle Family Dental Center | |
|
20210 77th Ave Ne Arlington WA 98223-4602 | |
| (360) 435-2151 | |
| (360) 435-7845 |
| Full Name | Eagle Family Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20210 77th Ave Ne, Arlington, Washington |
| Authorized Official Name and Position | Jeffrey D. Huleatt (DOCTOR/OWNER) |
| Authorized Official Contact | 3604352151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Family Dental Center 20210 77th Ave Ne Arlington WA 98223-4602 Ph: (360) 435-2151 | Eagle Family Dental Center 20210 77th Ave Ne Arlington WA 98223-4602 Ph: (360) 435-2151 |
| NPI Number | 1801806898 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801806898 | NPI | - | NPPES |
| DE00007379 | Other | WA | STATE OF WASH LICENSE |
| DE00006048 | Other | WV | STATE OF WASHINGTON LICEN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00006048 (Washington) | Primary |
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