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NPI 1881241206

IndividualActive

Adena Mangkornkeo, RDA

NPI 1881241206 · Dental Assistant · Snohomish, WA

Provider details

NPI number: 1881241206
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: RDA
Sex: Female
Sole proprietor: No

Practice location

14827 80th Ave Se

Snohomish, WA 98296-8407

Phone: (206) 715-5504

More WA providers

Mailing address

14827 80th Ave Se

Snohomish, WA 98296-8407

Registry dates

Enumerated: 2019-08-21
Last updated: 2019-08-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adena Mangkornkeo, RDA — NPI 1881241206, Snohomish, WA | NPI Central