| Tlc Dental | |
|
1323 Boren Ave Apt 213 Seattle WA 98101-2527 | |
| (206) 351-5381 | |
| Not Available |
| Full Name | Tlc Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1323 Boren Ave Apt 213, Seattle, Washington |
| Authorized Official Name and Position | Stefanie K Hamamoto (PRESIDENT) |
| Authorized Official Contact | 2063515381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Dental 1323 Boren Ave Apt 213 Seattle WA 98101-2527 Ph: (206) 351-5381 | Tlc Dental 1323 Boren Ave Apt 213 Seattle WA 98101-2527 Ph: (206) 351-5381 |
| NPI Number | 1497024079 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 12/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497024079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60172421 (Washington) | Primary |
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