| 19th Ave Dental | |
|
10217 19th Ave Se Ste 203 Everett WA 98208-4266 | |
| (425) 385-8130 | |
| Not Available |
| Full Name | 19th Ave Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10217 19th Ave Se Ste 203, Everett, Washington |
| Authorized Official Name and Position | Yun Min Kang (DENTIST) |
| Authorized Official Contact | 3607789311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 19th Ave Dental 10217 19th Ave Se Ste 203 Everett WA 98208-4266 Ph: (425) 385-8130 | 19th Ave Dental 10217 19th Ave Se Ste 203 Everett WA 98208-4266 Ph: (425) 385-8130 |
| NPI Number | 1124703129 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124703129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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