Organization · Type 2 NPI
Kevin La, PLLC
Dental Clinic/Center · Everett, WA
NPI number
1063922938
Active
Practice location
4809 132nd St SE Ste A105
Everett, WA 98208-6241
Mailing address
17321 40th Ave SE
Bothell, WA 98012-5065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1063922938
Kevin La, PLLC's National Provider Identifier is 1063922938, issued on Oct 5, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Everett, WA. The record was last updated on Oct 5, 2017.