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720 Olive Way Ste 920 Seattle WA 98101-1840 | |
| (206) 682-1654 | |
| (206) 682-1190 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 720 Olive Way Ste 920, Seattle, Washington |
| Authorized Official Name and Position | Diane M Doppel (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 2066821654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
720 Olive Way Ste 920 Seattle WA 98101-1840 Ph: (206) 682-1654 | 720 Olive Way Ste 920 Seattle WA 98101-1840 Ph: (206) 682-1654 |
| NPI Number | 1013937507 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013937507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00006461 (Washington) | Primary |
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