| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 953 E Union St, Seattle, Washington |
| Authorized Official Name and Position | Paul R Sauvage (PRESIDENT/OWNER) |
| Authorized Official Contact | 2069093863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1210 22nd Ave E Seattle WA 98112-3535 Ph: (206) 498-1777 | 953 E Union St Seattle WA 98122 Ph: (206) 323-7659 |
| NPI Number | 1265109086 |
|---|---|
| Provider Enumeration Date | 08/28/2021 |
| Last Update Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265109086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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