Seattle Kids Dentistry | |
945 Elliott Ave W Ste 101 Seattle WA 98119-3607 | |
(425) 780-5439 | |
Not Available |
Full Name | Seattle Kids Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 945 Elliott Ave W Ste 101, Seattle, Washington |
Authorized Official Name and Position | Kristi Linsenmayer (PARTNER) |
Authorized Official Contact | 2069201046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Seattle Kids Dentistry 945 Elliott Ave W Ste 101 Seattle WA 98119-3607 Ph: () - | Seattle Kids Dentistry 945 Elliott Ave W Ste 101 Seattle WA 98119-3607 Ph: (425) 780-5439 |
NPI Number | 1194089086 |
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Provider Enumeration Date | 06/26/2012 |
Last Update Date | 06/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194089086 | NPI | - | NPPES |
5017983 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 7075 (Washington) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 10876 (Washington) | Secondary |
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