| Koutsoumbas & Lintakoon Dds Pllc | |
|
4055 21st Ave W Ste 101 Seattle WA 98199-1247 | |
| (206) 285-1338 | |
| Not Available |
| Full Name | Koutsoumbas & Lintakoon Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4055 21st Ave W Ste 101, Seattle, Washington |
| Authorized Official Name and Position | John Hung Lintakoon (MEMBER) |
| Authorized Official Contact | 5126805571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koutsoumbas & Lintakoon Dds Pllc 4055 21st Ave W Ste 101 Seattle WA 98199-1247 Ph: (206) 285-1338 | Koutsoumbas & Lintakoon Dds Pllc 4055 21st Ave W Ste 101 Seattle WA 98199-1247 Ph: (206) 285-1338 |
| NPI Number | 1174975338 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174975338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60229140 (Washington) | Primary |
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