| R. David Mtchell | |
|
15721 1st Ave S Burien WA 98148-1210 | |
| (206) 242-4080 | |
| (206) 242-4680 |
| Full Name | R. David Mtchell |
|---|---|
| Speciality | Dentist |
| Location | 15721 1st Ave S, Burien, Washington |
| Authorized Official Name and Position | Robert David Mitchell (OWNER/DENTIST) |
| Authorized Official Contact | 2062424080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. David Mtchell 15721 1st Ave S Burien WA 98148-1210 Ph: (206) 242-4080 | R. David Mtchell 15721 1st Ave S Burien WA 98148-1210 Ph: (206) 242-4080 |
| NPI Number | 1982857587 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982857587 | NPI | - | NPPES |
| 1003998154 | Other | WA | NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5115 (Washington) | Primary |
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