Greenlake Dental | |
4701 Midvale Ave N Seattle WA 98103-6641 | |
(206) 547-5647 | |
(206) 545-9291 |
Full Name | Greenlake Dental |
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Speciality | Dentist - General Practice |
Location | 4701 Midvale Ave N, Seattle, Washington |
Authorized Official Name and Position | Benjamin L Chang (PRESIDENT) |
Authorized Official Contact | 2065475647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greenlake Dental 4701 Midvale Ave N Seattle WA 98103-6641 Ph: (206) 547-5647 | Greenlake Dental 4701 Midvale Ave N Seattle WA 98103-6641 Ph: (206) 547-5647 |
NPI Number | 1851457428 |
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Provider Enumeration Date | 12/28/2006 |
Last Update Date | 11/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851457428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE8374 (Washington) | Primary |
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