KEVIN LA PLLC NPI 1063922938

NPI Information

  • NPI: 1063922938
  • Provider Name: KEVIN LA, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: CANYON CREEK FAMILY & IMPLANT DENTISTRY
  • Address: 4809 132ND ST SE STE A105
    EVERETT, WA
    ZIP 98208
  • Phone: (425) 585-0805

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NPI Details

KEVIN LA, PLLC is a dental clinic center in Everett, WA. KEVIN LA, PLLC NPI is 1063922938. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyon Creek Family & Implant Dentistry.

The provider's business location address is:

4809 132ND ST SE STE A105
EVERETT, WA
ZIP 98208-241
Phone: (425) 585-0805

The provider's authorized official is Kevin La .
The authorized official title is Owner and has the following contact phone number (213) 448-7706.

The enumeration date for this NPI number is 10/5/2017 and was last updated on 10/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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