Endodontics Seattle | |
509 Olive Way Ste 1633 Seattle WA 98101-1770 | |
(206) 624-8313 | |
(206) 624-8922 |
Full Name | Endodontics Seattle |
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Speciality | Clinic/center - Dental |
Location | 509 Olive Way Ste 1633, Seattle, Washington |
Authorized Official Name and Position | Michael Kang (OWNER) |
Authorized Official Contact | 2066248313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Endodontics Seattle 509 Olive Way Ste 1633 Seattle WA 98101-1770 Ph: (206) 624-8313 | Endodontics Seattle 509 Olive Way Ste 1633 Seattle WA 98101-1770 Ph: (206) 624-8313 |
NPI Number | 1013376110 |
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Provider Enumeration Date | 02/17/2016 |
Last Update Date | 02/17/2016 |
Identifier | Type | State | Issuer |
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1013376110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DE60567455 (Washington) | Primary |
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