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Pspd - Everett, PLLC

Dentist, Pediatric Dentistry in Everett, WA. Organization (NPI-2).

NPI number1659940468
StatusActive
Last updated in NPPESJun 24, 2021

Details

NPI
1659940468
Entity type
Organization (NPI-2)
Legal business name
Pspd - Everett, PLLC
Organization subpart
No
Enumeration date
Jun 24, 2021
Certification date
Jun 24, 2021
Last updated
Jun 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes

Practice location

3224 Colby Ave Ste A
Everett, WA 98201-4383

Phone 425-259-3505

Mailing address

3224 Colby Ave Ste A
Everett, WA 98201-4383

Phone 425-259-3505

Authorized official

Jessica Knight
Credential Manager
3606598100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Dentistry providers in Everett, WA

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