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Contact Information

360 DENTAL OF MILL CREEK
15021 MAIN STREET SUITE A&B
MILL CREEK, WA98012
 Phone: 425-999-8159
 Fax: 425-400-7314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 360 DENTAL OF MILL CREEK · (Female)

NPI Number 1538890306
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2022
Last updated 06/22/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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