| Derick W. Hahn D.d.s., Pllc | |
|
1107 Sw Grady Way Suite 200 Renton WA 98057-5217 | |
| (425) 226-9270 | |
| (425) 254-1129 |
| Full Name | Derick W. Hahn D.d.s., Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1107 Sw Grady Way, Renton, Washington |
| Authorized Official Name and Position | Derick Wayne Hahn (DENTIST) |
| Authorized Official Contact | 2067780592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derick W. Hahn D.d.s., Pllc 720 S 38th Ct Renton WA 98055-5894 Ph: (206) 778-0592 | Derick W. Hahn D.d.s., Pllc 1107 Sw Grady Way Suite 200 Renton WA 98057-5217 Ph: (425) 226-9270 |
| NPI Number | 1447696752 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447696752 | NPI | - | NPPES |
| 1699929167 | Other | WA | TYPE 1 NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60035932 (Washington) | Primary |
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