| Restor | |
|
411 Strander Blvd Suite 205 Tukwila WA 98188-2935 | |
| (800) 469-9879 | |
| Not Available |
| Full Name | Restor |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 411 Strander Blvd, Tukwila, Washington |
| Authorized Official Name and Position | Darrin Rapoport (OWNER/ PERIODONTIST) |
| Authorized Official Contact | 2065751086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restor 411 Strander Blvd Suite 205 Tukwila WA 98188-2935 Ph: () - | Restor 411 Strander Blvd Suite 205 Tukwila WA 98188-2935 Ph: (800) 469-9879 |
| NPI Number | 1326311705 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326311705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE00008508 (Washington) | Primary |
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