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1959 Ne Pacific St Seattle WA 98195-0001 | |
| (206) 685-8258 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1959 Ne Pacific St, Seattle, Washington |
| Authorized Official Name and Position | Robert O'neal (ASSOCIATE DEAN, CLINICAL SERVICES) |
| Authorized Official Contact | 2066168794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1959 Ne Pacific St P.o. Box 357131 Seattle WA 98195-0001 Ph: (206) 685-2276 | 1959 Ne Pacific St Seattle WA 98195-0001 Ph: (206) 685-8258 |
| NPI Number | 1477640886 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 01/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477640886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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