Ballard Dental | |
1551 Nw 54th St Ste 104 Seattle WA 98107-3845 | |
(206) 789-5234 | |
(206) 783-1694 |
Full Name | Ballard Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 1551 Nw 54th St Ste 104, Seattle, Washington |
Authorized Official Name and Position | Jennifer Ohsie (DENTIST/OWNER) |
Authorized Official Contact | 2064277275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ballard Dental 6707 Sycamore Ave Nw Seattle WA 98117-4849 Ph: (206) 427-7275 | Ballard Dental 1551 Nw 54th St Ste 104 Seattle WA 98107-3845 Ph: (206) 789-5234 |
NPI Number | 1215380373 |
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Provider Enumeration Date | 07/13/2016 |
Last Update Date | 07/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215380373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 10363 (Washington) | Primary |
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