| Cloverdale Family Dentistry | |
|
1415 S Cloverdale St Seattle WA 98108-4826 | |
| (206) 762-2337 | |
| (206) 762-0344 |
| Full Name | Cloverdale Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1415 S Cloverdale St, Seattle, Washington |
| Authorized Official Name and Position | Tina Fujii (OWNER) |
| Authorized Official Contact | 2067622337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloverdale Family Dentistry 1415 S Cloverdale St Seattle WA 98108-4826 Ph: (206) 762-2337 | Cloverdale Family Dentistry 1415 S Cloverdale St Seattle WA 98108-4826 Ph: (206) 762-2337 |
| NPI Number | 1831534155 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831534155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008520 (Washington) | Primary |
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