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909 Ne 45th St Seattle WA 98105-4714 | |
| (206) 523-7180 | |
| (206) 523-0323 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 909 Ne 45th St, Seattle, Washington |
| Authorized Official Name and Position | Jeffrey C Knudson (OWNER/DENTIST) |
| Authorized Official Contact | 2065237180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
909 Ne 45th St Seattle WA 98105-4714 Ph: (206) 523-7180 | 909 Ne 45th St Seattle WA 98105-4714 Ph: (206) 523-7180 |
| NPI Number | 1912249830 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912249830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60170676 (Washington) | Primary |
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