| Sky Ridge Periodontics | |
|
10814 19th Ave Se Everett WA 98208-5153 | |
| (425) 337-4734 | |
| Not Available |
| Full Name | Sky Ridge Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10814 19th Ave Se, Everett, Washington |
| Authorized Official Name and Position | Graig Erickson (PERIODONTIST) |
| Authorized Official Contact | 4253374734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sky Ridge Periodontics 10814 19th Ave Se Everett WA 98208-5153 | Sky Ridge Periodontics 10814 19th Ave Se Everett WA 98208-5153 Ph: (425) 337-4734 |
| NPI Number | 1649674706 |
|---|---|
| Provider Enumeration Date | 10/18/2014 |
| Last Update Date | 10/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649674706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (NU) | Primary |
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