| Advanced Periodontics, Microsurgery & Implantology Of Seattle | |
|
509 Olive Way Ste 1524 Seattle WA 98101-1749 | |
| (206) 223-1501 | |
| (206) 223-1554 |
| Full Name | Advanced Periodontics, Microsurgery & Implantology Of Seattle |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 509 Olive Way, Seattle, Washington |
| Authorized Official Name and Position | Bobby Lynn Butler (OWNER) |
| Authorized Official Contact | 2062231501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Periodontics, Microsurgery & Implantology Of Seattle 509 Olive Way Ste 1524 Seattle WA 98101-1749 Ph: (206) 223-1501 | Advanced Periodontics, Microsurgery & Implantology Of Seattle 509 Olive Way Ste 1524 Seattle WA 98101-1749 Ph: (206) 223-1501 |
| NPI Number | 1285637538 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285637538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE00006993 (Washington) | Primary |
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