| Aj Gollofon Dds Ps | |
|
11285 Lake City Way Ne Seattle WA 98125 | |
| (206) 363-7200 | |
| (206) 367-6689 |
| Full Name | Aj Gollofon Dds Ps |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11285 Lake City Way Ne, Seattle, Washington |
| Authorized Official Name and Position | Aj Gollofon (PRESIDENT) |
| Authorized Official Contact | 2063637200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aj Gollofon Dds Ps 11285 Lake City Way Ne Seattle WA 98125-6718 Ph: (206) 363-7200 | Aj Gollofon Dds Ps 11285 Lake City Way Ne Seattle WA 98125 Ph: (206) 363-7200 |
| NPI Number | 1548716343 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548716343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00006208 (Washington) | Primary |
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