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9730 3rd Ave Ne Ste 209 Seattle WA 98115-2023 | |
(206) 362-6677 | |
(206) 362-2586 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 9730 3rd Ave Ne Ste 209, Seattle, Washington |
Authorized Official Name and Position | John Samuel Sage (OWNER) |
Authorized Official Contact | 2063626677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9730 3rd Ave Ne Ste 209 Seattle WA 98115-2023 Ph: (206) 362-6677 | 9730 3rd Ave Ne Ste 209 Seattle WA 98115-2023 Ph: (206) 362-6677 |
NPI Number | 1326286709 |
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Provider Enumeration Date | 01/23/2009 |
Last Update Date | 02/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326286709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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