| Pavlovich Dental | |
|
4150 California Ave Sw Seattle WA 98116-4102 | |
| (206) 935-1855 | |
| (206) 937-3996 |
| Full Name | Pavlovich Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4150 California Ave Sw, Seattle, Washington |
| Authorized Official Name and Position | Heather Grant (OFFICE MANAGER) |
| Authorized Official Contact | 2069351855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavlovich Dental 4150 California Ave Sw Seattle WA 98116-4102 Ph: (206) 935-1855 | Pavlovich Dental 4150 California Ave Sw Seattle WA 98116-4102 Ph: (206) 935-1855 |
| NPI Number | 1568904530 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 11/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568904530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60188633 (Washington) | Primary |
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