Icon Dental Center | |
2815 2nd Ave Ste 101 Seattle WA 98121-1262 | |
(425) 337-2400 | |
(425) 337-1916 |
Full Name | Icon Dental Center |
---|---|
Speciality | Clinic/center - Dental |
Location | 2815 2nd Ave Ste 101, Seattle, Washington |
Authorized Official Name and Position | Jacky A Chan (FINANCIAL COORDINATOR) |
Authorized Official Contact | 4253372400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Icon Dental Center 2815 2nd Ave Ste 101 Seattle WA 98121-1262 Ph: (425) 337-2400 | Icon Dental Center 2815 2nd Ave Ste 101 Seattle WA 98121-1262 Ph: (425) 337-2400 |
NPI Number | 1154825321 |
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Provider Enumeration Date | 03/21/2018 |
Last Update Date | 03/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154825321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 60383042 (Washington) | Primary |
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