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9200 Roosevelt Way Ne Seattle WA 98115-2842 | |
| (206) 498-2212 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 9200 Roosevelt Way Ne, Seattle, Washington |
| Authorized Official Name and Position | Mei Ling Wang (MEMBER) |
| Authorized Official Contact | 2064982212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9200 Roosevelt Way Ne Seattle WA 98115-2842 Ph: (206) 498-2212 | 9200 Roosevelt Way Ne Seattle WA 98115-2842 Ph: (206) 498-2212 |
| NPI Number | 1881147775 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881147775 | NPI | - | NPPES |
| 1467550681 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00007484 (Washington) | Primary |
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