Caroline M Herron, Dds, Msd, Pllc | |
509 Olive Way #627 Seattle WA 98101-1720 | |
(206) 682-9269 | |
(206) 624-4140 |
Full Name | Caroline M Herron, Dds, Msd, Pllc |
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Speciality | Dentist - Periodontics |
Location | 509 Olive Way, Seattle, Washington |
Authorized Official Name and Position | Caroline M Herron (PERIODONTIST/OWNER) |
Authorized Official Contact | 2066829269 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Caroline M Herron, Dds, Msd, Pllc 509 Olive Way #627 Seattle WA 98101-1720 Ph: (206) 682-9269 | Caroline M Herron, Dds, Msd, Pllc 509 Olive Way #627 Seattle WA 98101-1720 Ph: (206) 682-9269 |
NPI Number | 1043752827 |
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Provider Enumeration Date | 11/10/2016 |
Last Update Date | 11/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043752827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 9735 (Washington) | Primary |
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