| Ivy Dental Everett Pllc | |
|
2722 Colby Ave Ste 508 Everett WA 98201-3533 | |
| (425) 252-9713 | |
| (425) 339-6099 |
| Full Name | Ivy Dental Everett Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2722 Colby Ave Ste 508, Everett, Washington |
| Authorized Official Name and Position | Yoon Suk Lee (OWNER) |
| Authorized Official Contact | 4252529713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Dental Everett Pllc 2722 Colby Ave Ste 508 Everett WA 98201-3533 Ph: (425) 252-9713 | Ivy Dental Everett Pllc 2722 Colby Ave Ste 508 Everett WA 98201-3533 Ph: (425) 252-9713 |
| NPI Number | 1386864197 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386864197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009491 (Washington) | Primary |
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