| Smile West Seattle Llc | |
|
3623 Sw Alaska St Seattle WA 98126 | |
| (206) 453-3006 | |
| Not Available |
| Full Name | Smile West Seattle Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3623 Sw Alaska St, Seattle, Washington |
| Authorized Official Name and Position | Ronald Brun (OWNER) |
| Authorized Official Contact | 2064533006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile West Seattle Llc 3623 Sw Alaska St Seattle WA 98126 Ph: (206) 453-3006 | Smile West Seattle Llc 3623 Sw Alaska St Seattle WA 98126 Ph: (206) 453-3006 |
| NPI Number | 1124347976 |
|---|---|
| Provider Enumeration Date | 05/19/2010 |
| Last Update Date | 05/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124347976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010828 (Washington) | Primary |
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