STACEY K UM

EVERETT, WA
NPI1174534820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00007510)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
-- STACEY K UM D.D.S.
910 MADISON ST
EVERETT, WA 98203-4542
Phone number: 425-355-5520
Mailing Address
-- STACEY K UM D.D.S.
910 MADISON ST
EVERETT, WA 98203-4542
Phone number: 425-355-5520
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