| Issaquah Creek Dental | |
|
720 Olive Way Suite 835 Seattle WA 98101 | |
| (206) 450-1939 | |
| Not Available |
| Full Name | Issaquah Creek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 720 Olive Way, Seattle, Washington |
| Authorized Official Name and Position | Mark Earl Germack (OWNER) |
| Authorized Official Contact | 2064501939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Issaquah Creek Dental 720 Olive Way Suite 835 Seattle WA 98101 Ph: (206) 450-1939 | Issaquah Creek Dental 720 Olive Way Suite 835 Seattle WA 98101 Ph: (206) 450-1939 |
| NPI Number | 1013360502 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013360502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00010298 (Washington) | Primary |
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