Family Group Dental INC
Clinic/Center, Dental in Everett, WA. Organization (NPI-2).
NPI number1508201732
StatusActive
Last updated in NPPESMay 1, 2013
Details
- NPI
- 1508201732
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Group Dental INC
- Organization subpart
- No
- Enumeration date
- May 1, 2013
- Last updated
- May 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | DE00008641 | WA | Yes |
Practice location
909 Se Everett Mall WayB-250
Everett, WA 98208
Phone 425-355-0600
Mailing address
909 Se Everett Mall WayB-250
Everett, WA 98208
Phone 425-355-0600
Authorized official
Yuriy Bagdasarov
Owner
4253550600
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